Individual
DR. FRANK IACONO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
72 ALLEN ST, RUTLAND, VT 05701-4568
(802) 775-7440
Mailing address
76 COLONIAL DR, RUTLAND, VT 05701-9572
(802) 775-1164
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
813
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
813
VERMONT STATE LICENSE
VT
Enumeration date
08/01/2006
Last updated
06/19/2008
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