| NPI | 1164073136 |
|---|---|
| Doing Business As | COMPLETE HEALTH PERIODONTICS |
| Entity Type | Organization |
| Authorized Contact | LYNN HARASTY DUBOFF Dr. 802-779-6137 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics |
| Enumeration Date | 2019-09-21 |
| Last Update Date | 2019-09-21 |