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Individual

DR. DANIEL EVERETT OAKES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
14 GRETTOS GAP, LUDLOW, VT 05149-9305
(802) 228-7495
Mailing address
14 GRETTOS GAP, LUDLOW, VT 05149-9305
(802) 228-7495

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
016-0002026
VT
1223G0001X
General Practice Dentistry
050078-1
NY
1223G0001X
General Practice Dentistry
3148
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1005846
VT
Enumeration date
02/09/2007
Last updated
07/08/2007
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