| NPI | 1376986364 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN GARY HEMSTED Manager 802-860-3368 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VT 0160088973) |
| Enumeration Date | 2013-04-09 |
| Last Update Date | 2013-04-09 |