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Individual

CHARLOTTE M HAMIDZADEH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.D.S.

Contact information

Practice address
6 PARK PL, BRISTOL, VT 05443
(802) 453-7700
(402) 362-1601
Mailing address
6 PARK PL, BRISTOL, VT 05443-1229

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
016.0133876
VT
1223G0001X
General Practice Dentistry
Primary
3876
VT
1223G0001X
General Practice Dentistry
7147
NE

Other

Enumeration date
07/07/2014
Last updated
03/23/2026
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