| NPI | 1174533327 |
|---|---|
| Doing Business As | WHITE RIVER DENTIST |
| Entity Type | Organization |
| Authorized Contact | RICHARD G SCHRAMM Co Owner General Dentist 802-295-2458 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VT VT1028) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: VT VT625) |
| 122300000X Dentist (Licence: VT 106.0086114) | |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2016-07-20 |