Individual
TAMMY VALADAKIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
294 S MAIN ST, NORTHFIELD, VT 05663-5783
(802) 485-5100
Mailing address
PO BOX 1604, WAITSFIELD, VT 05673-1604
(802) 917-1113
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
1563
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1563
—
VT
Enumeration date
10/25/2017
Last updated
10/25/2017
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