Organization
CATHOLIC MEDICAL CENTER
Active
Other names
Poisson Dental Facility
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL A MERTZIC RN (DIRECTOR, COMMUNITY HEALTH SERVICES)
(603) 663-8709
Entity
Organization
Contact information
Practice address
100 MCGREGOR ST, POISSON DENTAL FACILITY, MANCHESTER, NH 03102-3730
(603) 663-6226
(603) 663-7800
Mailing address
100 MCGREGOR ST, POISSON DENTAL FACILITY, MANCHESTER, NH 03102-3730
(603) 663-6226
(603) 663-7800
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
—
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30312091
—
NH
Enumeration date
08/03/2006
Last updated
10/20/2020
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