Organization
BRATTLEBORO DENTAL CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHAITALEE GANATRA DDS (OWNER)
(802) 254-6634
Entity
Organization
Contact information
Practice address
80 FLAT ST STE 101, BRATTLEBORO, VT 05301-3258
(802) 254-6634
Mailing address
80 FLAT ST STE 101, BRATTLEBORO, VT 05301-3258
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
07/08/2020
Last updated
07/08/2020
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