| NPI | 1619114733 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK KNOTT Doctor 802-457-2922 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VT 016-0002246) |
| Enumeration Date | 2009-01-12 |
| Last Update Date | 2009-01-12 |