The Dental Center At Community Health Center Of Burlington

NPI 1053460907 - Clinic/Center - 261QD0000X

NPI Details
NPI 1053460907
Enumeration Date 01/09/2007
Last Updated 11/06/2015
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name DIANA DIANA
Position DIRECTOR
Phone (802) 864-6309
Fax (802) 860-4324
Practice Location
617 RIVERSIDE AVE
BURLINGTON VT, 05401-1601, US
Phone (802) 864-6309
Fax (802) 860-4324
Business Location
617 RIVERSIDE AVE
BURLINGTON VT, 05401-1601, US
Phone (802) 864-6309
Fax (802) 860-4324
Toxanomy
Taxonomy Code 261QD0000X
License State
License Number
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According to our database, The Dental Center At Community Health Center Of Burlington NPI is 1053460907, taxonomy code is 261QD0000X The Dental Center At Community Health Center Of Burlington physically located at 617 Riverside Ave, Burlington VT, 05401-1601. NPI Number 1033115704 has the healthcare provider type.

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1053460907 NPI number is provided on an as is basis without warranty of any kind. 1053460907 is maintained by the National Plan & Provider Enumeration System. The contents of The Dental Center At Community Health Center Of Burlington are for informational purposes only.