H
NPI #1356633895 in South Royalton, Vermont
Provider Information
- NPI Number
- 1356633895
- Entity Type
- Organization
- Organization Name
- H
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- May 3, 2011
- Last Updated
- May 3, 2011
Practice Location
- Address
- 79 SOUTH WINDSOR ST
- City
- South Royalton
- State
- Vermont
- ZIP Code
- 05068-0119
- Phone
- (802) 889-3310
Authorized Official
- Name
- SUSAN HULL
- Title
- CLINIC COORDINATOR
- Phone
- (802) 889-3310
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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