Organization
UNION STREET DENTAL, PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAN MELO DMD (OWNER)
(802) 862-4993
Entity
Organization
Contact information
Practice address
130 UNION ST, BENNINGTON, VT 05201-2918
(802) 447-7682
Mailing address
130 UNION ST, BENNINGTON, VT 05201-2918
(802) 447-7682
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0160097611
VT
Other
Enumeration date
09/19/2013
Last updated
09/19/2013
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