| NPI | 1245347806 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUNE ANN FOREST Owner 802-229-0033 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VT 016-000207) |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2020-08-22 |