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Organization

ACDCDDS, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RONI GOLDEN DMD (DENTIST)
(802) 878-1170
Entity
Organization

Contact information

Practice address
25 BISHOP AVE, WILLISTON, VT 05495-7871
(802) 878-1170
(802) 872-7139
Mailing address
25 BISHOP AVE, PO BOX 1277, WILLISTON, VT 05495-7871
(802) 878-1170
(802) 872-7139

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
0160000525
VT
1223G0001X
General Practice Dentistry
0160000534
VT
1223G0001X
General Practice Dentistry
Primary
0160088849
VT

Other

Enumeration date
09/23/2013
Last updated
09/24/2013
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