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Organization
SHELBURNE DENTAL SERVICES, P.C.
Active
Organization
SHELBURNE DENTAL SERVICES, P.C.
Active
Other names
Shelburne Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NATHAN BOUCHARD DDS (OWNER/DENTIST)
(603) 320-4994
Entity
Organization
Contact information
Practice address
30 SHELBURNE SHOPPING PARK, SHELBURNE, VT 05482-7488
(802) 985-3500
(802) 985-2979
Mailing address
267 PEARL ST UNIT B1, BURLINGTON, VT 05401-8543
(603) 320-4994
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
016-60069455
VT
Other
Enumeration date
07/03/2013
Last updated
07/03/2013
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