Individual
JEVIN CARRUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2 SPRING ST, SWANTON, VT 05488-1329
(802) 363-8892
Mailing address
2 SPRING ST, SWANTON, VT 05488-1329
(802) 363-8892
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
016.0119901
VT
Other
Enumeration date
04/02/2015
Last updated
07/07/2016
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