| NPI | 1619096013 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH ROSS YUDIN Owner Dentist 802-254-9244 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VT 3000999) |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2020-08-22 |