| NPI | 1497049746 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CEDRIC CHARLES PECOR Dentist 802-999-6245 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VT 0160002277) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: VT 0160000677) |
| 1223G0001X Dentist, General Practice (Licence: VT 0160002140) | |
| Enumeration Date | 2011-06-03 |
| Last Update Date | 2011-06-24 |