| NPI | 1235236647 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY R MCKECHNIE President 802-253-7932 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VT 016-0000747) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2020-08-22 |