Organization
MILTON FAMILY DENTISTRY
Active
Other names
Milton Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD R KLINGEBIEL D.D.S. (OWNER)
(802) 893-4734
Entity
Organization
Contact information
Practice address
157 RIVER ST, MILTON, VT 05468-3607
(802) 893-4734
Mailing address
157 RIVER ST, MILTON, VT 05468-3607
(802) 893-4734
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
677
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0001886
—
VT
05
—
1009136
—
VT
Enumeration date
04/02/2007
Last updated
08/22/2020
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