Full Name | |
---|---|
Speciality | Dentist - General Practice |
Location | 2 Spring St, Swanton, Vermont |
Authorized Official Name and Position | Kevin Brown (OWNER) |
Authorized Official Contact | 8028683335 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
2 Spring St Swanton VT 05488-1329 Ph: () - | 2 Spring St Swanton VT 05488-1329 Ph: (802) 868-3335 |
NPI Number | 1558428243 |
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Provider Enumeration Date | 01/02/2007 |
Last Update Date | 07/17/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1558428243 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 16-0001004 (Vermont) | Primary |