Organization
DOVER PEDIATRIC DENTISTRY & ORTHODONTICS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY DON WENDELL D.D.S. (DOCTOR / DENTIST)
(603) 686-3928
Entity
Organization
Contact information
Practice address
750 CENTRAL AVE, SUITE K, DOVER, NH 03820-3434
(603) 743-6000
Mailing address
750 CENTRAL AVE, SUITE K, DOVER, NH 03820-3434
(603) 743-6000
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
3134
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3081208
—
NH
Enumeration date
04/30/2014
Last updated
04/30/2014
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