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Individual

DR. CARMEN MILAGROS ALCALA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DMD

Contact information

Practice address
300 CORNERSTONE DR, SUITE 215, WILLISTON, VT 05495-4012
(802) 878-7775
(802) 879-8388
Mailing address
303 FORTY ACRE LN, WILLISTON, VT 05495-2114
(802) 878-0979

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
016-0001175
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
OVN0448
VT
Enumeration date
10/04/2006
Last updated
07/08/2007
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