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Organization
ALLEN BROOK COMPREHENSIVE DENTAL, P.L.C
Active
Organization
ALLEN BROOK COMPREHENSIVE DENTAL, P.L.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARMEN ALCALA DMD (DENTIST)
(802) 878-7775
Entity
Organization
Contact information
Practice address
300 CORNERSTONE DR, SUITE 215, WILLISTON, VT 05495-4012
(802) 878-7775
(802) 879-8388
Mailing address
303 FORTY ACRE LN, WILLISTON, VT 05495-2114
(802) 878-0979
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
016-0001175
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
OVN0448
—
VT
Enumeration date
06/12/2007
Last updated
08/22/2020
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