Organization
BAYSIDE DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIENA POSADA (DENTIST)
(603) 855-2017
Entity
Organization
Contact information
Practice address
291 MAIN ST., ALTON, NH 03809
(603) 855-2017
Mailing address
PO BOX 670, ALTON, NH 03809-0670
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
03588
NH
Other
Enumeration date
08/14/2012
Last updated
08/14/2012
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