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Organization
ORAL CARE DENTAL GROUP
Active
Organization
ORAL CARE DENTAL GROUP
Active
Other names
Milton Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANGELINA SANTA MARIA (ADMINISTRATOR)
(802) 893-4734
Entity
Organization
Contact information
Practice address
157 RIVER ST, MILTON, VT 05468-3607
(802) 893-4734
(802) 893-1406
Mailing address
157 RIVER ST, MILTON, VT 05468-3607
(802) 893-4734
(802) 893-1406
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
0160002213
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0001886
—
VT
05
—
1009136
—
VT
05
—
1012294
—
VT
Enumeration date
01/29/2008
Last updated
01/29/2008
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