Organization
SHELBURNE DENTAL SERVICES, P.C.
Active
Other names
Shelburne Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NATHAN BOUCHARD DDS (OWNER/DENTIST)
(603) 320-4994
Entity
Organization
Contact information
Practice address
30 SHELBURNE SHOPPING PARK, SHELBURNE, VT 05482-7488
(802) 985-3500
(802) 985-2979
Mailing address
267 PEARL ST UNIT B1, BURLINGTON, VT 05401-8543
(603) 320-4994
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
016-60069455
VT
Other
Enumeration date
07/03/2013
Last updated
07/03/2013
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