Individual
DR. RONALD SCOTT DEBRUIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
84 WATER TOWER RD, UNIT #2, ENOSBURG FALLS, VT 05450-6097
(802) 933-8316
(802) 933-6555
Mailing address
84 WATER TOWER RD, UNIT #2, ENOSBURG FALLS, VT 05450-6097
(802) 933-8316
(802) 933-6555
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
16-30001126
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1003075
—
VT
Enumeration date
11/02/2006
Last updated
07/09/2007
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