| NPI | 1477851723 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENHAM B. CRAFTON CEO 802-862-8266 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: VT 016-0002281) |
| Enumeration Date | 2011-03-10 |
| Last Update Date | 2011-03-10 |