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Organization

DAVID A. BAASCH, DDS, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DAVID A. BAASCH D.D.S. (PRESIDENT)
(802) 446-2770
Entity
Organization

Contact information

Practice address
42 N MAIN ST, WALLINGFORD, VT 05773-9547
(802) 446-2770
Mailing address
42 N MAIN ST, WALLINGFORD, VT 05773-9547
(802) 446-2770

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0000896
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0002464
VT
Enumeration date
06/06/2007
Last updated
08/22/2020
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