Organization
KEENE ORTHODONTIC SPECIALISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LANCE R MILLER DDS, MS (PRESIDENT)
(603) 352-8661
Entity
Organization
Contact information
Practice address
105 WEST ST, KEENE, NH 03431-3374
(314) 915-6210
Mailing address
105 WEST ST, KEENE, NH 03431-3374
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
08/08/2011
Last updated
11/01/2011
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