Individual
DR. MARY COLLEEN ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
61 PINE ST, BRISTOL, VT 05443-1043
(802) 453-3911
Mailing address
PO BOX 363, BETHEL, VT 05032-0363
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
016.0134179
VT
122300000X
Dentist
DN1855175
MA
Other
Enumeration date
04/08/2008
Last updated
10/16/2023
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