MR. Theron John Main, D.D.S.
NPI #1134346885 in South Burlington, Vermont
Provider Information
- NPI Number
- 1134346885
- Entity Type
- Individual
- Name
- MR. Theron John Main, D.D.S.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - Pediatric Dentistry
- Credential
- D.D.S.
- Enumeration Date
- Apr 20, 2007
- Last Updated
- Jun 30, 2008
Practice Location
- Address
- 60 TIMBER LN
- City
- South Burlington
- State
- Vermont
- ZIP Code
- 05403-7214
- Phone
- (802) 652-5213
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Pediatric Dentistry — Pediatric Dentistry |
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