Individual
SIMONE VIEIRA DE MORAES DE LUNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
856 US ROUTE 302 UNIT A, BARRE, VT 05641-2301
(802) 433-3398
Mailing address
PO BOX 517, RICHMOND, VT 05477-0517
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
016.0133885
VT
Other
Enumeration date
12/27/2018
Last updated
12/27/2018
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