Organization
JONATHAN C PALAZZO DMD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN C PALAZZO DMD (MANAGER/OWNER)
(603) 624-4313
Entity
Organization
Contact information
Practice address
1140 SOMERVILLE ST, MANCHESTER, NH 03103-2847
(603) 624-4313
Mailing address
1140 SOMERVILLE ST, MANCHESTER, NH 03103-2847
(603) 624-4313
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3381
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30302720
—
NH
Enumeration date
01/14/2009
Last updated
01/14/2009
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