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303 Riverway Pl Bedford NH 03110-6744 | |
| (603) 623-6639 | |
| (603) 644-5398 |
| Full Name | |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 303 Riverway Pl, Bedford, New Hampshire |
| Authorized Official Name and Position | Charles Douglas Neal (PERIODONTIST) |
| Authorized Official Contact | 6036236639 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
303 Riverway Pl Bedford NH 03110-6744 Ph: (603) 623-6639 | 303 Riverway Pl Bedford NH 03110-6744 Ph: (603) 623-6639 |
| NPI Number | 1205852340 |
|---|---|
| Provider Enumeration Date | 07/14/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205852340 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | 1308 (New Hampshire) | Primary |
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