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Individual

DR. PHILIP MANSOUR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
89 SOUTH MAIN STREET, GOFFSTOWN, NH 03045
(603) 497-4605
(603) 497-3327
Mailing address
89 SOUTH MAIN ST, GOFFSTOWN, NH 03045
(603) 497-4605
(603) 497-3327

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
17193
MA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
2436
NH

Other

Enumeration date
12/26/2006
Last updated
07/08/2007
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