| NPI | 1275881112 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TINA M. ZAMPINI Office Manager 802-463-4695 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: VT 016-0002280) |
| Additional Taxonomies | 122300000X Dentist (Licence: VT 016-0002286) |
| Enumeration Date | 2012-08-27 |
| Last Update Date | 2012-10-16 |