NPI | 1275689564 |
---|---|
Doing Business As | RIVER STATION FAMILY DENTISTRY |
Entity Type | Organization |
Authorized Contact | SALLY ANN BISHKO Owner 802-223-2244 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VT 847) |
Enumeration Date | 2007-01-27 |
Last Update Date | 2020-08-22 |