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Organization
AFFILIATES IN DENTAL CARE, INC.
Active
Organization
AFFILIATES IN DENTAL CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RONALD CLINTON LEWIS (OFFICE ADMINISTRATOR)
(802) 773-6966
Entity
Organization
Contact information
Practice address
9 WASHINGTON ST, RUTLAND, VT 05701-5021
(802) 773-6966
(802) 773-6924
Mailing address
9 WASHINGTON ST, RUTLAND, VT 05701-5021
(802) 773-6966
(802) 773-6924
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1004256
—
VT
Enumeration date
07/14/2006
Last updated
07/21/2022
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