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Organization

LONDONDERRY DENTISTRY & IMPLANTS, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. ANGELINA BLANKSCHEN (ADMINISTRATOR)
(860) 997-0569
Entity
Organization

Contact information

Practice address
75 GILCREAST RD UNIT 108, LONDONDERRY, NH 03053-3565
(603) 434-9329
(860) 437-1938
Mailing address
75 GILCREAST RD UNIT 108, LONDONDERRY, NH 03053-3565
(603) 434-9329
(860) 437-1938

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
03561
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
03561
NH DENTAL LICENSE
NH
05
3074071
NH
Enumeration date
05/07/2018
Last updated
05/07/2018
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