| NPI | 1275733354 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY L. MORRIS Owner/Dentist 802-244-6366 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: VT 0160001187) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: VT 2031) |
| Enumeration Date | 2007-07-18 |
| Last Update Date | 2011-10-11 |