VT CENTER FOR DENTAL IMPLANTS AND MAXILLOFACIAL SURGERY LLC
Organization (NPI-2)
Active
Clinic/Center, Oral and Maxillofacial Surgery
Provider Information
- NPI Number
1063699767- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 792 COLLEGE PKWY STE 307, COLCHESTER, VT, 054463052
- Phone
- (802) 655-5090
- Fax
- (802) 655-9366
Specialties & Taxonomies
Dentist, Oral and Maxillofacial Surgery
License: VT #016-0001123
Clinic/Center, Oral and Maxillofacial Surgery
Primary License: VT #061-0001123
Durable Medical Equipment & Medical Supplies