Hanover Oral Surgery Pllc

NPI 1043636616 - Clinic/Center - 261QS0112X

NPI Details
NPI 1043636616
Enumeration Date 03/06/2014
Last Updated 03/06/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name TERRY W TERRY
Position OWNER
Phone (603) 643-1700
Fax (603) 643-1702
Practice Location
367 ROUTE 120
UNIT E-1
LEBANON NH, 03766-1430, US
Phone (603) 643-1700
Fax (603) 643-1702
Business Location
367 ROUTE 120
UNIT E-1
LEBANON NH, 03766-1430, US
Phone (603) 643-1700
Fax (603) 643-1702
Toxanomy
Taxonomy Code 261QS0112X
License State New Hampshire
License Number 03746
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According to our database, Hanover Oral Surgery Pllc NPI is 1043636616, taxonomy code is 261QS0112X and license number is 03746, license state is located at New Hampshire. Hanover Oral Surgery Pllc physically located at 367 Route 120, Lebanon NH, 03766-1430. NPI Number 1033115704 has the healthcare provider type.

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1043636616 NPI number is provided on an as is basis without warranty of any kind. 1043636616 is maintained by the National Plan & Provider Enumeration System. The contents of Hanover Oral Surgery Pllc are for informational purposes only.