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Individual

DR. ASHOT HOVHANNISYAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
474 HOLIDAY DR STE 1, RUTLAND, VT 05701-4889
(305) 699-4488
Mailing address
474 HOLIDAY DR STE 1, RUTLAND, VT 05701-4889
(305) 699-4488

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
016.0134279
VT
122300000X
Dentist
DN27571
FL

Other

Enumeration date
10/18/2022
Last updated
06/10/2024
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