Organization
NORTHEAST MOBILE DENTAL SERVICE, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN JOSEPH AHERN D.D.S. (TREASURER)
(603) 432-5039
Entity
Organization
Contact information
Practice address
30 PINKERTON ST, DERRY, NH 03038-1504
(603) 432-5039
(603) 425-2873
Mailing address
PO BOX 1360, DERRY, NH 03038-6360
(603) 432-5039
(603) 425-2873
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/11/2006
Last updated
08/22/2020
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