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Organization
THE DENTAL CENTER AT COMMUNITY HEALTH CENTER OF BURLINGTON
Active
Organization
THE DENTAL CENTER AT COMMUNITY HEALTH CENTER OF BURLINGTON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANA GREENOUGH (DIRECTOR)
(802) 864-6309
Entity
Organization
Contact information
Practice address
617 RIVERSIDE AVE, BURLINGTON, VT 05401-1601
(802) 864-6309
(802) 860-4324
Mailing address
617 RIVERSIDE AVE, BURLINGTON, VT 05401-1601
(802) 864-6309
(802) 860-4324
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0001692
—
VT
Enumeration date
01/09/2007
Last updated
11/06/2015
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