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Individual

CHERYL LANG ULLMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DMD

Contact information

Practice address
71 ALLEN ST, SUITE 204, RUTLAND, VT 05701-4570
(802) 773-7767
(802) 775-7667
Mailing address
PO BOX 130, RUTLAND, VT 05702-0130
(802) 773-7767
(802) 775-7667

Taxonomy

Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1009354
VT
01
1124
DELTA DENTAL
VT
01
9346
BC/BS
VT
Enumeration date
08/06/2006
Last updated
07/08/2007
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