# PAUL G. BOERMAN, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1861690075
- **Authorized official:** DR. PAUL G. BOERMAN DDS (OWNER)
- **Authorized official phone:** (802) 860-6725

## Contact information

- **Practice address:** 44 TIMBER LN, SOUTH BURLINGTON, VT 05403-7204
- **Practice address phone:** (802) 860-6725
- **Practice address fax:** (802) 864-0277
- **Mailing address:** 44 TIMBER LN, SOUTH BURLINGTON, VT 05403-7204
- **Mailing address phone:** (802) 860-6725
- **Mailing address fax:** (802) 864-0277

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 0160000990 | VT | Yes |

## Other

- **Enumeration date:** 07/10/2007
- **Last updated:** 07/10/2007