| Williston Road Family Dental , Plc | |
|
1340 Williston Rd South Burlington VT 05403-6469 | |
| (802) 863-0505 | |
| Not Available |
| Full Name | Williston Road Family Dental , Plc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1340 Williston Rd, South Burlington, Vermont |
| Authorized Official Name and Position | Dan Melo (OWNER/DENTIST) |
| Authorized Official Contact | 8028630505 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Williston Road Family Dental , Plc 1340 Williston Rd South Burlington VT 05403-6469 Ph: (802) 863-0505 | Williston Road Family Dental , Plc 1340 Williston Rd South Burlington VT 05403-6469 Ph: (802) 863-0505 |
| NPI Number | 1063786374 |
|---|---|
| Provider Enumeration Date | 03/05/2012 |
| Last Update Date | 03/05/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063786374 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 0160002103 (Vermont) | Primary |
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