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DR. MARTIN LEO CHAPUT D.D.S.

>> Dentist >> Dental Providers

Registrant NPI Number: 1679640130

Individual Registrant:
DR. MARTIN LEO CHAPUT D.D.S.
Gender: M
Sole Proprietor

Location and contact information for practice:
298 WHITE MOUNTAIN HWY  CONWAY, NH 03818-4204 US
Tel: 603-447-8900  Fax: --

Contact information for business:
209 PEQUAWKET TRL  FREEDOM, NH 03836-4435 US
Tel: 603-539-6670  Fax: --

Registration Information:
NPI: 1679640130
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y122300000XDental Providers
Dentist
NH03517

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
30304433NH05
DELTA DENTAL03517NH01




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