| NPI | 1942384979 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTHA WHITCOMB PHILBRICK Office Manager 802-865-1212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: VT 01600001242) |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2020-08-22 |