Individual
SANDY LOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
123 MAIN ST, JAFFREY, NH 03452
(603) 532-8720
(603) 532-5618
Mailing address
123 MAIN ST, JAFFREY, NH 03452-7104
(603) 532-8720
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
04434
NH
122300000X
Dentist
DN1857972
MA
Other
Enumeration date
05/31/2018
Last updated
07/19/2018
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