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 |