NPI | 1285127621 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVID L STANLEY Owner 802-524-4844 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2018-06-11 |
Last Update Date | 2018-06-11 |