| NPI | 1497833495 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY CHARLES MAURER Dentist Owner 802-877-2110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VT 619) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2020-08-22 |