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Organization

BRYAN C HILLER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BRYAN CHARLES HILLER DMD, MS (DOCTORE/OWNER)
(603) 707-4684
Entity
Organization

Contact information

Practice address
394 UNION AVE, LACONIA, NH 03246-2812
(603) 707-4684
Mailing address
394 UNION AVE, LACONIA, NH 03246-2812
(603) 707-4684

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
03583
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
30307060
NH
Enumeration date
02/02/2009
Last updated
02/02/2009
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