Organization
RUTLAND DENTAL CARE, PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA BORDEAUX (OPERATIONS MANAGER)
(802) 310-0838
Entity
Organization
Contact information
Practice address
135 N MAIN ST, RUTLAND, VT 05701-3238
(802) 770-1730
Mailing address
15 SPRINGHOUSE RD, SOUTH BURLINGTON, VT 05403-7400
(802) 238-0492
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/03/2019
Last updated
09/03/2019
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