| NPI | 1962772467 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW DAVID GIULIANELLI Owner/Dentist 802-864-6264 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VT 016-0002229) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: VT 016-0002257) |
| Enumeration Date | 2011-12-31 |
| Last Update Date | 2011-12-31 |