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Individual

DR. ALEXANDER ATHAN TENENTES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
168 NORTH ST, BENNINGTON, VT 05201-1874
(802) 442-2115
(802) 442-2115
Mailing address
168 NORTH ST, BENNINGTON, VT 05201-1874
(802) 442-2115
(802) 442-2115

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0300000194
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0006614
VT
01
56764
CIGNA
VT
01
926270
MVP
VT
Enumeration date
10/25/2005
Last updated
07/07/2010
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