Organization
KWASNIK FAMILY DENTAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CORIN KWASNIK DMD (OWNER)
(028) 229-0561
Entity
Organization
Contact information
Practice address
395 PAINE TPKE N, BERLIN, VT 05602-9157
(802) 229-0561
Mailing address
162 S MAIN ST, WATERBURY, VT 05676-1520
(802) 272-6124
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/01/2023
Last updated
11/01/2023
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