| NPI | 1275648487 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEE ANN PETROPULOS WHELAN Endodontist 802-872-0300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: VT 0160002071) |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: VT 0160002040) |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2020-08-22 |