| NPI | 1487853644 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT STEPHEN KOLODZEJ Senior Partner 802-775-0819 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VT 769) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: VT 871) |
| 1223G0001X Dentist, General Practice (Licence: VT 1112) | |
| Enumeration Date | 2007-07-17 |
| Last Update Date | 2007-07-17 |