Organization
COLLINS DENTISTRY FOR CHILDREN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VICTORIA M NOLET (PRACTICE ADMINISTRATOR)
(603) 635-1166
Entity
Organization
Contact information
Practice address
76 ALLDS ST STE 5, NASHUA, NH 03060-4704
(603) 718-8587
(603) 718-8592
Mailing address
76 ALLDS ST STE 5, NASHUA, NH 03060-4704
(603) 718-8587
(603) 718-8592
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
3214
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30313756
—
NH
Enumeration date
10/20/2010
Last updated
10/20/2010
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