| Jonathan C Palazzo Dmd Pllc | |
|
1140 Somerville St Manchester NH 03103-2847 | |
| (603) 624-4313 | |
| Not Available |
| Full Name | Jonathan C Palazzo Dmd Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1140 Somerville St, Manchester, New Hampshire |
| Authorized Official Name and Position | Jonathan C Palazzo (MANAGER/OWNER) |
| Authorized Official Contact | 6036244313 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jonathan C Palazzo Dmd Pllc 1140 Somerville St Manchester NH 03103-2847 Ph: (603) 624-4313 | Jonathan C Palazzo Dmd Pllc 1140 Somerville St Manchester NH 03103-2847 Ph: (603) 624-4313 |
| NPI Number | 1265679146 |
|---|---|
| Provider Enumeration Date | 01/14/2009 |
| Last Update Date | 01/14/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265679146 | NPI | - | NPPES |
| 30302720 | Medicaid | NH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 3381 (New Hampshire) | Primary |
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