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Individual

STEPHANE GOULET

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
494 HIGHLAND AVE, NEWPORT, VT 05855-4919
(802) 334-1400
(802) 334-1400
Mailing address
494 HIGHLAND AVE, NEWPORT, VT 05855-4919

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
112267
VT

Other

Enumeration date
11/05/2015
Last updated
11/05/2015
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