Organization
ADVANCED FAMILY DENTAL CARE INC
Active
Other names
Advanced family dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PRAVEENA P BHAT DMD (PRESIDENT)
(603) 264-1445
Entity
Organization
Contact information
Practice address
613 AMHERST ST, NASHUA, NH 03063-1017
(603) 882-3885
Mailing address
613 AMHERST ST, NASHUA, NH 03063-1017
(603) 882-3885
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
03841
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03841
NH DENTAL LICENSE
NH
Enumeration date
09/14/2017
Last updated
07/21/2022
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