Individual
MICHAEL R DICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
240 STRATTON ROAD, RUTLAND, VT 05701
(802) 775-6981
(802) 775-1705
Mailing address
5 JAN AVENUE, RUTLAND, VT 05701
(802) 775-5092
(802) 775-1705
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
664
VT
Other
Enumeration date
05/02/2007
Last updated
07/08/2007
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