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Organization
VERMONT TECHNICAL COLLEGE DEPARTMENT OF DENTA
Active
Organization
VERMONT TECHNICAL COLLEGE DEPARTMENT OF DENTA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELLEN B GRIMES (DEPARTMENT CHAIR)
(802) 879-5643
Entity
Organization
Contact information
Practice address
301 LAWRENCE PLACE, WILLISTON, VT 05495
(802) 879-5643
(802) 879-2317
Mailing address
301 LAWRENCE PLACE, WILLISTON, VT 05495
(802) 879-5643
(802) 879-2317
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/29/2012
Last updated
03/18/2014
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