Individual
DR. MARY CORINNE SQUIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3429 RICHVILLE RD, MANCHESTER CENTER, VT 05255
(802) 366-9119
(802) 366-9099
Mailing address
3740 ROUTE 313, ARLINGTON, VT 05250
(802) 375-2747
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
041234
NY
122300000X
Dentist
Primary
1079
VT
Other
Enumeration date
07/28/2006
Last updated
07/08/2007
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