Vermont Dental Care

NPI #1033247705 in Winooski, Vermont

Provider Information

NPI Number: 1033247705
Entity Type: Organization
Organization Name: Vermont Dental Care
Subpart: Yes (part of a larger organization)
Parent Organization: VERMONT DENTAL CARE
Primary Specialty: Dentist - General Practice
Enumeration Date: Mar 2, 2007
Last Updated: Sep 22, 2011

Practice Location

Address: 32 B MALLETTS BAY AVENUE
City: Winooski
State: Vermont
ZIP Code: 05404-1960
Phone: (802) 655-8822

Authorized Official

Name: MR. CHARLES SELEEN
Title: DIRECTOR
Phone: (802) 655-8822

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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