| NPI | 1053751164 |
|---|---|
| Doing Business As | SHELBURNE DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | NATHAN BOUCHARD Owner/Dentist 603-320-4994 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VT 016-60069455) |
| Enumeration Date | 2013-07-03 |
| Last Update Date | 2013-07-03 |