Individual
DR. PHILIP ANDRE LAVOIE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
273 PEARL ST, BURLINGTON, VT 05401-8553
(802) 862-7906
Mailing address
273 PEARL ST, BURLINGTON, VT 05401-8553
(802) 862-7906
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0160001066
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1002420
—
VT
Enumeration date
03/20/2007
Last updated
07/09/2007
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