Individual
DR. KEVIN GLEN FALLON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
39 GROVE ST, SUITE 7, PETERBOROUGH, NH 03458-1408
(603) 924-6731
(603) 924-0982
Mailing address
39 GROVE ST, SUITE 7, PETERBOROUGH, NH 03458-1408
(603) 924-6731
(603) 924-0982
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3230
NH
Other
Enumeration date
10/17/2006
Last updated
07/08/2007
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