| NPI | 1871707786 |
|---|---|
| Doing Business As | COLCHESTER DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | KENNETH PALM Dentist 802-655-5308 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VT 01237) |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2008-07-17 |