Organization
BLAKE C WULLBRANDT
Active
Other names
Children's Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
BLAKE CHESTER WULLBRANDT DDS (OWNER)
(603) 357-6385
Entity
Organization
Contact information
Practice address
113 RAILROAD ST, KEENE, NH 03431-3747
(603) 357-6385
(603) 357-6960
Mailing address
113 RAILROAD ST, KEENE, NH 03431-3747
(603) 357-6385
(603) 357-6960
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
3257
NH
Other
Enumeration date
07/11/2006
Last updated
06/12/2008
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