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99 Clinton St A-9 Concord School System Concord NH 03301 | |
(603) 759-8439 | |
(603) 715-5415 |
Full Name | |
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Speciality | Clinic/center - Public Health, State Or Local |
Location | 99 Clinton St, Concord, New Hampshire |
Authorized Official Name and Position | Janice L Farmer (FISCALAGENT-CONCORD DENTAL SEALANT) |
Authorized Official Contact | 6037598439 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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99 Clinton St A-9 Concord NH 03301 Ph: (603) 759-8439 | 99 Clinton St A-9 Concord School System Concord NH 03301 Ph: (603) 759-8439 |
NPI Number | 1497948988 |
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Provider Enumeration Date | 08/20/2007 |
Last Update Date | 12/04/2008 |
Identifier | Type | State | Issuer |
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1497948988 | NPI | - | NPPES |
30536696 | Medicaid | NH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP0905X | Clinic/center - Public Health, State Or Local | (* (Not Available)) | Primary |
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