| NPI | 1518133412 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY MORRIS D.D.S. 802-888-7766 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VT 016-0001187) |
| Enumeration Date | 2008-05-01 |
| Last Update Date | 2008-05-01 |