Mark Thomas Keydel DDS

NPI 1417099920 - Dentist - 122300000X

NPI Details
NPI 1417099920
Gender Male
Enumeration Date 02/12/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
52 COLCHESTER AVE
BURLINGTON VT, 05401, US
Phone (802) 864-0353
Fax (802) 865-9414
Business Location
27 CABOT COURT
SOUTH BURLINGTON VT, 05403, US
Phone (802) 658-9981
Fax
Toxanomy
Taxonomy Code 122300000X
License State Vermont
License Number VT851
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According to our database, Dr. Mark Thomas Keydel DDS NPI is 1417099920, taxonomy code is 122300000X and license number is VT851, license state is located at Vermont. Mark Thomas Keydel DDS physically located at 52 Colchester Ave, Burlington VT, 05401. NPI Number Mark Thomas Keydel DDS has the Individual type.

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1417099920 NPI number is provided on an as is basis without warranty of any kind. 1417099920 is maintained by the National Plan & Provider Enumeration System. The contents of Mark Thomas Keydel DDS are for informational purposes only.