Williston Road Family Dental , Plc

NPI 1063786374 - Clinic/Center - 261QD0000X

NPI Details
NPI 1063786374
Enumeration Date 03/05/2012
Last Updated 03/05/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name DAN DAN
Position OWNER/DENTIST
Phone (802) 863-0505
Fax
Practice Location
1340 WILLISTON RD
SOUTH BURLINGTON VT, 05403-6469, US
Phone (802) 863-0505
Fax
Business Location
1340 WILLISTON RD
SOUTH BURLINGTON VT, 05403-6469, US
Phone (802) 863-0505
Fax
Toxanomy
Taxonomy Code 261QD0000X
License State Vermont
License Number 0160002103
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According to our database, Williston Road Family Dental , Plc NPI is 1063786374, taxonomy code is 261QD0000X and license number is 0160002103, license state is located at Vermont. Williston Road Family Dental , Plc physically located at 1340 Williston Rd, South Burlington VT, 05403-6469. NPI Number 1033115704 has the healthcare provider type.

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1063786374 NPI number is provided on an as is basis without warranty of any kind. 1063786374 is maintained by the National Plan & Provider Enumeration System. The contents of Williston Road Family Dental , Plc are for informational purposes only.