Organization
DR DENTAL OF MANCHESTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHEILA CHAMPAGNE (ACCOUNTS PAYABLE)
(508) 620-4563
Entity
Organization
Contact information
Practice address
460 ELM ST, MANCHESTER, NH 03101-2701
(508) 620-4563
Mailing address
945 CONCORD ST STE 230, FRAMINGHAM, MA 01701-4613
(508) 620-4563
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
11/13/2017
Last updated
11/13/2017
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