Organization
CHILDREN'S DENTISTRY OF THE LAKES REGION, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MELISSA ANNE KENNELL DDS (DENTIST)
(603) 527-2500
Entity
Organization
Contact information
Practice address
369 HOUNSELL AVE, UNIT #1, GILFORD, NH 03249
(603) 527-2500
Mailing address
369 HOUNSELL AVE, UNIT #1, GILFORD, NH 03249
(603) 527-2500
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
03570
NH
Other
Enumeration date
11/12/2010
Last updated
11/12/2010
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