Organization
UPPER VALLEY ENDODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BROOKE BLICHER DMD (OWNER)
(802) 295-7522
Entity
Organization
Contact information
Practice address
205 BILLINGS FARM RD, SUITE 6A, WHITE RIVER JUNCTION, VT 05001-5400
(802) 295-7522
(802) 296-2012
Mailing address
205 BILLINGS FARM RD, WHITE RIVER JUNCTION, VT 05001-5400
(802) 295-7522
(802) 296-2012
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
016.0093923
VT
1223E0200X
Endodontics
Primary
49567
VT
1223E0200X
Endodontics
—
—
Other
Enumeration date
11/14/2011
Last updated
02/17/2014
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