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Organization
NORTHEAST KINGDOM DENTAL GROUP PLLC
Active
Organization
NORTHEAST KINGDOM DENTAL GROUP PLLC
Active
Other names
Hardwick Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATIE KRIETER PIET DDS (DENTIST)
(802) 472-5005
Entity
Organization
Contact information
Practice address
49 W CHURCH ST, HARDWICK, VT 05843-6001
(802) 472-5005
Mailing address
PO BOX 555, HARDWICK, VT 05843-0555
(802) 472-5005
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0
DO NOT HAVE ANY OTHER IDENTIFIERS
—
Enumeration date
04/17/2019
Last updated
04/17/2019
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