Organization
EQUINOX DENTAL PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
XANDRA VELENCHIK (DENTIST)
(802) 287-4066
Entity
Organization
Contact information
Practice address
5053 MAIN ST, MANCHESTER CENTER, VT 05255-9771
(802) 768-8595
Mailing address
5053 MAIN ST, MANCHESTER CENTER, VT 05255-9771
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/17/2017
Last updated
11/17/2017
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