Individual
DR. LEEANN PODRUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1050 HINESBURG RD, SOUTH BURLINGTON, VT 05403-7612
(802) 864-1890
(802) 864-7526
Mailing address
7360 SPEAR ST, SHELBURNE, VT 05482-6572
(802) 985-3661
(802) 985-5261
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
690
VT
Other
Enumeration date
01/16/2007
Last updated
07/08/2007
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