Organization
ORAL CARE DENTAL GROUP
Active
Other names
Milton Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANGELINA SANTA MARIA (ADMINISTRATOR)
(802) 893-4734
Entity
Organization
Contact information
Practice address
157 RIVER ST, MILTON, VT 05468-3607
(802) 893-4734
(802) 893-1406
Mailing address
157 RIVER ST, MILTON, VT 05468-3607
(802) 893-4734
(802) 893-1406
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
0160002213
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0001886
—
VT
05
—
1009136
—
VT
05
—
1012294
—
VT
Enumeration date
01/29/2008
Last updated
01/29/2008
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