NPI | 1932245362 |
---|---|
Doing Business As | VERMONT OROFACIAL PAIN ASSOCIATES |
Entity Type | Organization |
Authorized Contact | REIMY EVANGELISTA DE LEON Owner 781-385-0484 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: VT 016-0000615) |
Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2007-01-30 |
Last Update Date | 2024-05-28 |