Individual
FREDERICK MICHEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
39 CHURCH ST, STE 1, POULTNEY, VT 05764
(802) 287-4066
(802) 287-2315
Mailing address
39 CHURCH ST, STE 1, POULTNEY, VT 05764
(802) 287-4066
(802) 287-2315
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
VT562
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0001741
—
VT
Enumeration date
09/15/2006
Last updated
07/08/2007
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