Individual
DR. BRANDON VANASSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
296 MAIN STREET, DERBY, VT 05829
(802) 766-4711
Mailing address
296 MAIN STREET, DERBY, VT 05829
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
016.0120905
VT
Other
Enumeration date
06/27/2016
Last updated
06/27/2016
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