| NPI | 1740469345 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNA M BOLANIS Owner Dentist 802-862-9282 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VT 1151) |
| Enumeration Date | 2007-10-31 |
| Last Update Date | 2007-10-31 |