Individual
DR. EDWARD P. PANTZAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
49 PEARL ST, ESSEX JUNCTION, VT 05452-3622
(802) 878-4631
(802) 878-8481
Mailing address
49 PEARL ST, ESSEX JUNCTION, VT 05452-3622
(802) 878-4631
(802) 878-8481
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
016-0000982
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0002533
—
VT
Enumeration date
03/11/2007
Last updated
07/08/2007
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