Individual
DR. KELLY FITZGERALD BURNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
152 MAIN ST, MONTPELIER, VT 05602-2913
(802) 229-0690
Mailing address
152 MAIN ST, MONTPELIER, VT 05602-2913
(802) 229-0690
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0160112318
VT
Other
Enumeration date
06/04/2015
Last updated
11/15/2016
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