| NPI | 1972936888 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL KENWORTHY Dentist/Owner 802-879-5151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NY 0553741) |
| Enumeration Date | 2013-08-14 |
| Last Update Date | 2015-10-26 |