Individual
BADRI ISMAEEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
17 FRESH RIVER RD, EPPING, NH 03042-2222
(603) 734-5366
Mailing address
17 FRESH RIVER RD, EPPING, NH 03042-2222
(603) 734-5366
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
04264
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04264
NEW HAMPSHIRE DENTAL BOARD
NH
Enumeration date
10/19/2016
Last updated
10/19/2016
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