# 3D DENTAL & ORTHODOTICS LLC

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

## Provider details

- **NPI number:** 1902661325
- **Authorized official:** ABD AL HADI KAWAIAH (OWNER)
- **Authorized official phone:** (469) 434-9908

## Contact information

- **Practice address:** 340 DORSET ST, SOUTH BURLINGTON, VT 05403-6306
- **Practice address phone:** (469) 434-9908
- **Mailing address:** 340 DORSET ST, SOUTH BURLINGTON, VT 05403-6306
- **Mailing address phone:** (469) 434-9908

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | — |
| 122300000X | Dentist | — | — | — |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 02/15/2024
- **Last updated:** 02/15/2024