Organization
SHAUNA L.GAUTHIER DMD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAUNA L GAUTHIER DMD (OWNER)
(603) 527-1700
Entity
Organization
Contact information
Practice address
96 HIGH ST, LACONIA, NH 03246-3537
(603) 527-1700
(603) 527-1785
Mailing address
96 HIGH ST, LACONIA, NH 03246-3537
(603) 527-1700
(603) 527-1785
Taxonomy
Speciality
Code
Description
License number
State
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
Primary
03806
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30308320
—
NH
Enumeration date
11/08/2011
Last updated
11/08/2011
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