Organization
MONADNOCK ORAL AND MAXILLOFACIAL SURGERY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEONARD L WELDON DDS (PRESIDENT)
(603) 357-3709
Entity
Organization
Contact information
Practice address
272 MAIN ST, KEENE, NH 03431-4144
(603) 357-3709
(603) 352-5722
Mailing address
165 S LINCOLN ST, KEENE, NH 03431-3830
(603) 355-1371
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
3047
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1006186
—
VT
05
—
30011490
—
NH
01
—
3047
STATE LICENSE#
NH
Enumeration date
05/31/2007
Last updated
03/05/2012
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