Organization
MY DENTIST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANET SUE KREFTING DDS (OWNER)
(603) 965-3407
Entity
Organization
Contact information
Practice address
25 BUTTRICK RD, LONDONDERRY, NH 03053-3341
(603) 965-3407
Mailing address
25 BUTTRICK RD, LONDONDERRY, NH 03053-3341
(603) 965-3407
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
03715
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
264370191
BLUE CROSS BLUE SHIELD
MA
Enumeration date
09/25/2009
Last updated
09/25/2009
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