Individual
DR. LAUREN JEAN SHANARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
75 TALCOTT RD STE 60, WILLISTON, VT 05495-8122
(802) 878-9888
(802) 878-8383
Mailing address
54 HENDERSON TER, BURLINGTON, VT 05401-3514
(802) 660-2933
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
016-0001108
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1002868
—
VT
Enumeration date
12/21/2006
Last updated
07/09/2007
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