| NPI | 1972881225 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDSAY B HERBERT Owner 802-229-4840 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VT 016.0000575) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: VT 016.0077720) |
| Enumeration Date | 2011-08-03 |
| Last Update Date | 2016-01-20 |