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10 Mapleville Depot St Albans VT 05478 | |
(802) 524-5169 | |
Not Available |
Full Name | |
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Speciality | Dentist |
Location | 10 Mapleville Depot, St Albans, Vermont |
Authorized Official Name and Position | Roni Golden (OWNER) |
Authorized Official Contact | 8028781170 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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10 Mapleville Depot Saint Albans VT 05478-1857 Ph: (802) 524-5169 | 10 Mapleville Depot St Albans VT 05478 Ph: (802) 524-5169 |
NPI Number | 1780037762 |
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Provider Enumeration Date | 07/14/2016 |
Last Update Date | 07/14/2016 |
Identifier | Type | State | Issuer |
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1780037762 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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122300000X | Dentist | 016.0120271 (Vermont) | Secondary |
122300000X | Dentist | 016.0088849 (Vermont) | Primary |