Individual
AMY TAGGART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
25 BISHOP AVE, WILLISTON, VT 05495-7871
(802) 878-1170
Mailing address
163 BAYBERRY CIR UNIT 102, BURLINGTON, VT 05401-5509
(336) 508-8652
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
016.0133939
VT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/22/2019
Last updated
06/30/2020
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