Organization
MANCHESTER WALK IN DENTAL CLINIC PC
Active
Other names
NH Walk In Dental Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DIAA M MAHABA DMD (PRESIDENT)
(603) 703-0220
Entity
Organization
Contact information
Practice address
25 S MAPLE ST, MANCHESTER, NH 03103-5738
(603) 703-0220
(603) 703-0221
Mailing address
25 S MAPLE ST, MANCHESTER, NH 03103-5738
(603) 703-0220
(603) 703-0221
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
03824
NH
Other
Enumeration date
05/18/2011
Last updated
05/18/2011
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