Organization
GREATER DERRY ORAL HEALTH COLLABORATIVE CORPORATION
Active
Other names
Children's Dental Network
Organization subpart
No
Provider details
NPI number
Authorized official
DIANNE E. POWERS (EXECUTIVE DIRECTOR)
(603) 434-2327
Entity
Organization
Contact information
Practice address
2 WINDHAM DEPOT ROAD, SUITE 3L, DERRY, NH 03038
(603) 434-2327
(603) 432-1235
Mailing address
2 WINDHAM DEPOT ROAD, SUITE 3L, DERRY, NH 03038
(603) 434-2397
(603) 432-1235
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
1213
NH
Other
Enumeration date
11/17/2010
Last updated
09/15/2023
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