| NPI | 1508191651 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENHAM B. CRAFTON CEO/President 802-862-8266 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VT 016-0002281) |
| Enumeration Date | 2009-10-07 |
| Last Update Date | 2009-10-07 |