Organization
LONDONDERRY ORAL SURGERY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DONNA L REDSHAW (OFFICE STAFF)
(603) 893-7601
Entity
Organization
Contact information
Practice address
12 PARMENTER RD, UNIT A2, LONDONDERRY, NH 03053-3280
(603) 893-7601
(603) 890-1179
Mailing address
12 PARMENTER RD, UNIT A2, LONDONDERRY, NH 03053-3280
(603) 893-7601
(603) 890-1179
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
14368
MA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
20461
MA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
21107
MA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
3052
NH
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
3265
NH
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
3422
NH
Other
Enumeration date
09/26/2006
Last updated
03/24/2008
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