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Individual

DR. PAUL LEO DAVOREN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
157 TOWN AVE, PLAINFIELD, VT 05667-0320
(802) 454-1057
(802) 454-8339
Mailing address
PO BOX 320, PLAINFIELD, VT 05667-0320
(802) 454-1057
(802) 454-8339

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0160000796
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0002419
VT
Enumeration date
08/20/2006
Last updated
12/06/2010
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