Dr. Kenneth J. Stavisky, Ltd.
NPI #1942384979 in South Burlington, Vermont
Provider Information
- NPI Number
- 1942384979
- Entity Type
- Organization
- Organization Name
- Dr. Kenneth J. Stavisky, Ltd.
- Primary Specialty
- Dentist - Endodontics
- Enumeration Date
- Oct 25, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 99 SWIFT ST
- Address 2
- SUITE 115
- City
- South Burlington
- State
- Vermont
- ZIP Code
- 05403-7303
- Phone
- (802) 865-1212
Authorized Official
- Name
- MRS. MARTHA WHITCOMB PHILBRICK
- Title
- OFFICE MANAGER
- Phone
- (802) 865-1212
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Endodontics — Endodontics |
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