Organization
RYAN D. GOSLIN, DDS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RYAN D GOSLIN DDS (DENTIST / OWNER)
(802) 658-4777
Entity
Organization
Contact information
Practice address
48 CLARKE ST, BURLINGTON, VT 05401-3754
(802) 658-4777
(802) 658-4809
Mailing address
48 CLARKE ST, BURLINGTON, VT 05401-3754
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
016-0002155
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1011744
—
VT
Enumeration date
12/21/2007
Last updated
12/21/2007
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