NPI | 1437364759 |
---|---|
Doing Business As | COMMUNITY DENTAL |
Entity Type | Organization |
Authorized Contact | GRANT WHITMER Executive Director 802-468-5641 |
Organization Subpart ? | Yes |
Primary Taxonomy | 122300000X Dentist |
Enumeration Date | 2007-05-11 |
Last Update Date | 2019-08-01 |