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Organization

THEODOROU DENTAL PARTNERS LLC

Active
Other names
Theodorou Dental Partners LLC
Organization subpart
No

Provider details

NPI number
Authorized official
CHRIST B THEODOROU D.M.D. (OWNER/DENTIST)
(802) 863-3950
Entity
Organization

Contact information

Practice address
118 TILLEY DR, SUITE 101, SOUTH BURLINGTON, VT 05403-4450
(802) 863-3950
(802) 863-6013
Mailing address
118 TILLEY DR, SUITE 101, SOUTH BURLINGTON, VT 05403-4450
(802) 863-3950
(802) 863-6013

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
77880
VT

Other

Enumeration date
07/27/2010
Last updated
09/21/2011
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