OrganizationActive
Lakes Region Dental Implant and Oral Surgery Center, P.A.
NPI 1265721534 · Oral and Maxillofacial Pathology Dentistry · Gilford, NH
Provider details
- NPI number
- 1265721534
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Pathology DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Daniel Detolla, President(603) 436-3608
Specialties & taxonomies
Dental Providers
Practice location
369 Hounsell Ave
Suite 2
Gilford, NH 03249
Phone: (603) 527-8057
Fax: (603) 527-8159
Approximate (ZIP-level) locationGet directions
Mailing address
369 Hounsell Ave
Gilford, NH 03249
Registry dates
- Enumerated
- 2011-04-07
- Last updated
- 2011-04-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.