Individual
DR. JEFFREY RICHARD VACHON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
57 WEBSTER ST, SUITE 112, MANCHESTER, NH 03104-2552
(603) 627-2092
Mailing address
57 WEBSTER ST, SUITE 112, MANCHESTER, NH 03104-2552
(603) 627-2092
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3799
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89191935
—
NH
Enumeration date
08/10/2010
Last updated
08/10/2010
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