Individual
DR. GERALD R THEBERGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
72 HIGH STREET, BRATTLEBORO, VT 05301
(802) 254-9644
(802) 257-8512
Mailing address
72 HIGH STREET, BRATTLEBORO, VT 05301
(802) 254-9644
(802) 257-8512
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0160000888
VT
Other
Enumeration date
06/27/2006
Last updated
07/08/2007
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