| NPI | 1053937292 |
|---|---|
| Doing Business As | MIDDLEBURY PEDIATRIC DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | BRIAN D COLLINS Owner / Member 802-388-0909 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2020-06-23 |
| Last Update Date | 2020-06-23 |