NPI | 1023407053 |
---|---|
Entity Type | Organization |
Authorized Contact | FRED ZIEGLER Partner 802-476-6373 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: VT 1025) |
Enumeration Date | 2015-01-14 |
Last Update Date | 2015-01-14 |