Organization
MASCOMA COMMUNITY HEALTHCARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL SAMSON (FINANCE MANAGER)
(603) 523-4501
Entity
Organization
Contact information
Practice address
18 ROBERTS ROAD, CANAAN, NH 03741
(603) 523-4501
Mailing address
PO BOX 550, CANAAN, NH 03741-0550
(603) 523-4501
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
1223D0001X
Public Health Dentistry
—
—
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
11/30/2016
Last updated
03/08/2024
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