Individual
DR. THEODORE LIBRIZZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1 KENNEDY DRIVE, SUITE 5, SOUTH BURLINGTON, VT 05403
(802) 859-9441
(802) 862-2424
Mailing address
1 KENNEDY DRIVE, SUITE 5, SOUTH BURLINGTON, VT 05403
(802) 859-9441
(802) 862-2424
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
0160000947
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1002638
—
VT
Enumeration date
04/06/2007
Last updated
07/08/2007
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