| Organization Name: | NORTHWOOD FAMILY DENTAL CENTER |
| NPI Number: | 1538338223 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | FREDRICK M VEGA (PRESIDENT) |
| Mailing Address: | 1505 First Nh Tpke Northwood |
| State: | NH US |
| Postal Code: | 032613217 |
| Phone Number: | 6039425541 |
| Fax Number: | |
| NPI Enumeration Date: | 02/27/2008 |
| NPI Last Update Date: | 10/17/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QD0000X |
| License Number: | 1857 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NH |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Dental |
| Taxonomy Definition: | |