| West River Family Dental Brattleboro | |
|
36 Park Pl Brattleboro VT 05301-2802 | |
| (802) 254-8322 | |
| (802) 258-9013 |
| Full Name | West River Family Dental Brattleboro |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 36 Park Pl, Brattleboro, Vermont |
| Authorized Official Name and Position | Jared Vernon Rediske (OWNER) |
| Authorized Official Contact | 8022548322 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| West River Family Dental Brattleboro 36 Park Pl Brattleboro VT 05301-2802 Ph: (802) 254-8322 | West River Family Dental Brattleboro 36 Park Pl Brattleboro VT 05301-2802 Ph: (802) 254-8322 |
| NPI Number | 1629324942 |
|---|---|
| Provider Enumeration Date | 07/24/2012 |
| Last Update Date | 07/24/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629324942 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 016-0002226 (Vermont) | Primary |
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