Mary C Squire Dds Pc | |
3429 Richville Rd Manchester Ct VT 05255 | |
(802) 366-9119 | |
(802) 366-9099 |
Full Name | Mary C Squire Dds Pc |
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Speciality | Dentist |
Location | 3429 Richville Rd, Manchester Ct, Vermont |
Authorized Official Name and Position | Mary C Squire (PRESIDENT) |
Authorized Official Contact | 8023669119 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Mary C Squire Dds Pc Po Box 1724 Manchester Center VT 05255 Ph: (802) 366-9119 | Mary C Squire Dds Pc 3429 Richville Rd Manchester Ct VT 05255 Ph: (802) 366-9119 |
NPI Number | 1285858068 |
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Provider Enumeration Date | 04/12/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1285858068 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 1079 (Vermont) | Primary |
122300000X | Dentist | 041234 (New York) | Secondary |