| NPI | 1295803005 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENTLEY ATWOOD HOWE MERRICK President 802-864-3827 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: VT 016-0001194) |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2011-11-23 |