| NPI | 1144319765 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELAINE M MCLAIN Dentist Partner 802-442-6379 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VT 727) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: VT 1129) |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2020-08-22 |