Organization
MARY C SQUIRE DDS PC
Active
Other names
Mary C Squire DDS
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARY C SQUIRE DDS (PRESIDENT)
(802) 366-9119
Entity
Organization
Contact information
Practice address
3429 RICHVILLE RD, MANCHESTER CT, VT 05255
(802) 366-9119
(802) 366-9099
Mailing address
PO BOX 1724, MANCHESTER CENTER, VT 05255
(802) 366-9119
(802) 366-9099
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
041234
NY
122300000X
Dentist
Primary
1079
VT
Other
Enumeration date
04/12/2007
Last updated
08/22/2020
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