Organization
WILLISTON ROAD FAMILY DENTAL , PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAN MELO DMD (OWNER/DENTIST)
(802) 863-0505
Entity
Organization
Contact information
Practice address
1340 WILLISTON RD, SOUTH BURLINGTON, VT 05403-6469
(802) 863-0505
Mailing address
1340 WILLISTON RD, SOUTH BURLINGTON, VT 05403-6469
(802) 863-0505
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
0160002103
VT
Other
Enumeration date
03/05/2012
Last updated
03/05/2012
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