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Organization
GREEN MOUNTAIN ORAL SURGERY LLC
Active
Organization
GREEN MOUNTAIN ORAL SURGERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHERILYNN STOFKA D.D.S. (ORAL SURGEON)
(802) 775-9700
Entity
Organization
Contact information
Practice address
66 N MAIN ST, RUTLAND, VT 05701-3249
(802) 775-9700
(802) 775-3237
Mailing address
66 N MAIN ST, RUTLAND, VT 05701-3249
(802) 775-9700
(802) 775-3237
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
0160002076
VT
Other
Enumeration date
05/31/2007
Last updated
08/22/2020
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