Individual
JESSICA PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
138 FIDDLERS GRN, WAITSFIELD, VT 05673-6285
(802) 496-2524
Mailing address
PO BOX 40, HINESBURG, VT 05461-0040
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
016.0134196
VT
Other
Enumeration date
06/06/2023
Last updated
10/13/2025
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