Organization
JUST KIDS PEDIATRIC DENTISTRY, PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN K RAYES DDS, MS (OWNER/MANAGER)
(802) 649-5210
Entity
Organization
Contact information
Practice address
303 ROUTE 5 S UNIT 2, NORWICH, VT 05055-9466
(802) 649-5210
(802) 649-7284
Mailing address
303 ROUTE 5 S UNIT 2, NORWICH, VT 05055-9466
(802) 649-5210
(802) 649-7284
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
016.0111094
VT
Other
Enumeration date
10/22/2015
Last updated
06/22/2020
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