Organization
LYNN H. DUBOFF, DMD, PLLC
Active
Other names
Complete Health Periodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LYNN HARASTY DUBOFF DMD (DR.)
(802) 779-6137
Entity
Organization
Contact information
Practice address
72 ALLEN ST, RUTLAND, VT 05701-4568
(802) 779-6137
Mailing address
237 HAWLEY LN, RUTLAND, VT 05701-8979
(802) 855-8771
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1790969582
NPI
VT
Enumeration date
09/21/2019
Last updated
09/21/2019
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