| NPI | 1386016970 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN K RAYES Owner/Manager 802-649-5210 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: VT 016.0111094) |
| Enumeration Date | 2015-10-22 |
| Last Update Date | 2020-06-22 |