| NPI | 1760695597 |
|---|---|
| Other Name | BIRCHWOOD DENTAL ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | JAMES VINCENT WYLLIE Owner 802-334-6965 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VT 652) |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2020-08-22 |