| NPI | 1588879472 |
|---|---|
| Doing Business As | SHELBURNE DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | DAN MELO Dentist 802-985-3500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: VT 0160002103) |
| Enumeration Date | 2007-05-13 |
| Last Update Date | 2020-08-22 |