| NPI | 1912100256 |
|---|---|
| Doing Business As | BRIGHAM DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | MATTHEW S EBERT Owner 802-888-5685 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VT 016-0002038) |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2020-08-22 |