Individual
DR. BETHANY K FITZGERALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
157 RIVER ST, MILTON, VT 05468-3607
(802) 893-4734
Mailing address
28 BILODEAU CT, BURLINGTON, VT 05401-1518
(802) 862-6673
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2140
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1009136
—
VT
Enumeration date
11/12/2006
Last updated
07/09/2007
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