| NPI | 1003973462 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN SCOTT THOMPSON Owner 802-879-7811 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VT 016-0001058) |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2020-08-22 |