Organization
CLINTON STREET DENTAL ASSOCIATES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTHONY JAMES LADDS D.D.S. (MEMBER)
(603) 224-2424
Entity
Organization
Contact information
Practice address
87 CLINTON ST, CONCORD, NH 03301-2262
(603) 224-2424
Mailing address
87 CLINTON ST, CONCORD, NH 03301-2262
(603) 224-2424
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
1049
NH
1223G0001X
General Practice Dentistry
Primary
3068
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30011419
—
NH
Enumeration date
04/26/2007
Last updated
08/22/2020
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