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Individual

DR. FADI KANAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
11 MARKET PLACE, ESSEX JUNCTION, VT 05452
(802) 878-5591
(802) 878-8951
Mailing address
11 MARKET PLACE, ESSEX JUNCTION, VT 05452
(802) 878-5591
(802) 878-8951

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2056
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1006352
VT
01
1327253
UNITED CONCORDIA
VT
01
58141
BCBS
VT
Enumeration date
08/10/2006
Last updated
07/08/2007
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