Individual
GRACE YASEWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
111 COLCHESTER AVE, BURLINGTON, VT 05401-1473
(802) 847-2345
Mailing address
111 COLCHESTER AVE, BURLINGTON, VT 05401-1473
(802) 847-2345
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
016-0133835
VT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/27/2022
Last updated
04/16/2024
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