Organization
MILTON FAMILY DENTISTRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CEDRIC CHARLES PECOR D.D.S. (DENTIST)
(802) 999-6245
Entity
Organization
Contact information
Practice address
157 RIVER ST, MILTON, VT 05468-3607
(802) 893-4734
Mailing address
157 RIVER ST, MILTON, VT 05468-3607
(802) 893-4734
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
0160000677
VT
1223G0001X
General Practice Dentistry
0160002140
VT
1223G0001X
General Practice Dentistry
Primary
0160002277
VT
Other
Enumeration date
06/03/2011
Last updated
06/24/2011
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