Organization
THE DENTAL CENTER AT COMMUNITY HEALTH CENTER OF BURLINGTON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANA GREENOUGH (DIRECTOR)
(802) 864-6309
Entity
Organization
Contact information
Practice address
617 RIVERSIDE AVE, BURLINGTON, VT 05401-1601
(802) 864-6309
(802) 860-4324
Mailing address
617 RIVERSIDE AVE, BURLINGTON, VT 05401-1601
(802) 864-6309
(802) 860-4324
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0001692
—
VT
Enumeration date
01/09/2007
Last updated
11/06/2015
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