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Individual

DR. JOHN C. BOCCALINI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.M.D.

Contact information

Practice address
50 MONADNOCK HWY, KEENE, NH 03431-4570
(603) 357-4779
Mailing address
180 FAY MARTIN RD, RICHMOND, NH 03470-4403
(603) 239-6696

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
NH1552
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
89192020
NH
Enumeration date
07/21/2006
Last updated
07/08/2007
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