| Monadnock Healthy Teeth | |
|
452 Old Street Rd Peterborough NH 03458-1263 | |
| (603) 924-7191 | |
| Not Available |
| Full Name | Monadnock Healthy Teeth |
|---|---|
| Speciality | Dentist |
| Location | 452 Old Street Rd, Peterborough, New Hampshire |
| Authorized Official Name and Position | Richard Scheinblum (CFO) |
| Authorized Official Contact | 6039247191 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Monadnock Healthy Teeth 452 Old Street Rd Peterborough NH 03458-1263 Ph: (603) 924-7191 | Monadnock Healthy Teeth 452 Old Street Rd Peterborough NH 03458-1263 Ph: (603) 924-7191 |
| NPI Number | 1023281599 |
|---|---|
| Provider Enumeration Date | 04/07/2008 |
| Last Update Date | 10/28/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023281599 | NPI | - | NPPES |
| 30312651 | Medicaid | NH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (NU) | Primary |
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