Organization
BRANDON VANASSE DMD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRANDON VANASSE DMD (OWNER)
(802) 766-4711
Entity
Organization
Contact information
Practice address
296 MAIN STREET, DERBY, VT 05829
(802) 766-4711
Mailing address
PO BOX 290, DERBY, VT 05829-0290
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
10/08/2018
Last updated
10/08/2018
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