| NPI | 1013345966 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GABRIEL MANNARINO Dentist/Owner 802-878-0600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VT 016.0002256) |
| Enumeration Date | 2013-10-30 |
| Last Update Date | 2013-10-30 |