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71 Knight Ln Suite 10 Williston VT 05495-4432 | |
| (802) 876-7803 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 71 Knight Ln, Williston, Vermont |
| Authorized Official Name and Position | Elizabeth D Walker (PRACTICE OWNER) |
| Authorized Official Contact | 8028767803 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
71 Knight Ln Suite 10 Williston VT 05495-4432 Ph: (802) 876-7803 | 71 Knight Ln Suite 10 Williston VT 05495-4432 Ph: (802) 876-7803 |
| NPI Number | 1437694635 |
|---|---|
| Provider Enumeration Date | 12/23/2016 |
| Last Update Date | 12/23/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437694635 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 016.0117242 (Vermont) | Primary |
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