Individual
DR. RICHARD C. WOLLENSAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2 PARK ST, BARRE, VT 05641-4451
(802) 476-6061
Mailing address
2 PARK ST, BARRE, VT 05641-4451
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1065
VT
Other
Enumeration date
03/12/2007
Last updated
07/08/2007
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