Ac Dental Care, Inc. Dba Red Clover Family Dentistry

NPI 1194149641 - Clinic/Center - 261QD0000X

NPI Details
NPI 1194149641
Enumeration Date 02/04/2014
Last Updated 02/04/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name LESLIE LESLIE
Position TREASURER
Phone (802) 453-3911
Fax (802) 329-2358
Practice Location
61 PINE ST
BUILDING 4
BRISTOL VT, 05443-1043, US
Phone (802) 453-3911
Fax (802) 329-2358
Business Location
61 PINE ST
BUILDING 4
BRISTOL VT, 05443-1043, US
Phone (802) 453-3911
Fax (802) 329-2358
Toxanomy
Taxonomy Code 261QD0000X
License State
License Number
Remove 1194149641 NPI Number
 

According to our database, Ac Dental Care, Inc. Dba Red Clover Family Dentistry NPI is 1194149641, taxonomy code is 261QD0000X Ac Dental Care, Inc. Dba Red Clover Family Dentistry physically located at 61 Pine St, Bristol VT, 05443-1043. NPI Number 1033115704 has the healthcare provider type.

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1194149641 NPI number is provided on an as is basis without warranty of any kind. 1194149641 is maintained by the National Plan & Provider Enumeration System. The contents of Ac Dental Care, Inc. Dba Red Clover Family Dentistry are for informational purposes only.