Individual
DR. DAVID A HEDSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
21 GROVE ST, PETERBOROUGH, NH 03458-1424
(603) 924-3664
(603) 924-3276
Mailing address
21 GROVE ST, PETERBOROUGH, NH 03458-1424
(603) 924-3664
(603) 924-3276
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1584
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1584
STATE LISCENSE NUMBER
NH
05
—
99001669
—
NH
Enumeration date
08/11/2006
Last updated
07/09/2007
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