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Organization

CENTRAL VERMONT DENTAL CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MICHAEL CHARLES ADLER DDS (DENTIST)
(802) 622-0801
Entity
Organization

Contact information

Practice address
417 US ROUTE 302, BARRE, VT 05641-2358
(802) 622-0801
Mailing address
417 US ROUTE 302, BARRE, VT 05641-2358
(802) 622-0801

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0160002180
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1010207
VT
Enumeration date
01/23/2014
Last updated
01/23/2014
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