Organization
GOLDEN 246 NORTH MAIN PLLC
Active
Other names
Associates in Comprehensive Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONI GOLDEN DDS (OWNER)
(802) 878-1170
Entity
Organization
Contact information
Practice address
25 BISHOP AVE, WILISTON, VT 05495
(802) 878-1170
Mailing address
PO BOX 1277, 25 BISHOP AVE, WILLISTON, VT 05495-1277
(802) 878-1170
(802) 872-7139
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
0160088849
VT
122300000X
Dentist
Primary
0160120271
VT
Other
Enumeration date
07/14/2016
Last updated
07/14/2016
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