| NPI | 1396769733 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRED WILLIAM SALVATORIELLO President 603-643-2170 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: VT 016-0001165) |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2020-08-22 |