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Organization
NORTHERN COUNTIES HEALTH CARE
Active
Organization
NORTHERN COUNTIES HEALTH CARE
Active
Other names
Orleans Dental Center
Organization subpart
No
Provider details
NPI number
Authorized official
SHAWN TESTER (CEO)
(802) 748-9405
Entity
Organization
Contact information
Practice address
11 UNION ST, ORLEANS, VT 05860-1218
(802) 754-6973
Mailing address
11 UNION ST, ORLEANS, VT 05860-1218
(802) 754-6973
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1009361
—
VT
Enumeration date
08/17/2016
Last updated
08/17/2016
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