Individual
DR. DAVID ERIC CONGALTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
106 MAIN ST, VERGENNES, VT 05491-1154
(802) 877-3534
(802) 877-3409
Mailing address
71 S WILLIAMS ST, UNIT 4, BURLINGTON, VT 05401-3452
(802) 859-1534
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0160002123
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1008099
—
VT
Enumeration date
11/03/2005
Last updated
07/08/2007
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