Organization
PHILIP M MANSOUR DMD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILIP M MANSOUR DMD (MEMBER)
(603) 497-4605
Entity
Organization
Contact information
Practice address
89 SOUTH MAST ST, GOFFSTOWN, NH 03045
(603) 417-4605
(603) 497-3327
Mailing address
89 SOUTH MAST ST, GOFFSTOWN, NH 03045
(603) 417-4605
(603) 497-3327
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
17193
MA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
2436
NH
Other
Enumeration date
12/27/2006
Last updated
08/22/2020
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