NPI | 1922526813 |
---|---|
Doing Business As | SAINT JOHNSBURY DENTAL ASSOCIATES |
Entity Type | Organization |
Authorized Contact | DARREN BOLES Owner/Dentist 802-748-9357 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: VT 016.0131858) |
Enumeration Date | 2017-08-31 |
Last Update Date | 2022-07-21 |