| Organization Name: | MEYER CRANIOFACIAL IMAGING & TREATMENT CENTER LLC |
| NPI Number: | 1558757062 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KIMBERLY A MEYER (DENTIST) |
| Mailing Address: | 24 Rochester Rd Northwood |
| State: | NH US |
| Postal Code: | 03261 |
| Phone Number: | 6039428000 |
| Fax Number: | 6039428047 |
| NPI Enumeration Date: | 04/10/2015 |
| NPI Last Update Date: | 04/10/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP3300X |
| License Number: | 03087 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NH |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Pain |
| Taxonomy Definition: | |