Organization
EXETER PEDIATRIC DENTISTRY AND ORTHODONTICS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE JUDGE-PROULX (DIRECTOR OF OPERATIONS)
(603) 436-2204
Entity
Organization
Contact information
Practice address
40 PORTSMOUTH AVE, EXETER, NH 03833-2106
(603) 778-0400
Mailing address
40 PORTSMOUTH AVE, EXETER, NH 03833-2106
(603) 778-0400
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
06/17/2020
Last updated
06/17/2020
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