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Individual

DR. JEBEDIAH SHEPHERD CHRISTY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S

Contact information

Practice address
36 ENDICOTT STREET EAST, LACONIA, NH 03247-5577
(603) 520-9786
Mailing address
PO BOX 5577, LACONIA, NH 03247-5577
(603) 520-9786

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
03540
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
30304351
NH
Enumeration date
10/26/2006
Last updated
07/08/2007
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