Organization
KEENE PERIODONTIC SPECIALISTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY WILLIAM RODDEN DDS (MANAGING MEMBER)
(603) 352-0099
Entity
Organization
Contact information
Practice address
222 WEST ST, SUITE 14, KEENE, NH 03431-2455
(603) 352-0099
Mailing address
222 WEST ST, SUITE 14, KEENE, NH 03431-2455
(603) 352-0099
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
—
Other
Enumeration date
11/06/2006
Last updated
08/22/2020
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