Organization
NORTHEAST KINGDOM DENTAL GROUP PLLC
Active
Other names
Hardwick Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATIE KRIETER PIET DDS (DENTIST)
(802) 472-5005
Entity
Organization
Contact information
Practice address
49 W CHURCH ST, HARDWICK, VT 05843-6001
(802) 472-5005
Mailing address
PO BOX 555, HARDWICK, VT 05843-0555
(802) 472-5005
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0
DO NOT HAVE ANY OTHER IDENTIFIERS
—
Enumeration date
04/17/2019
Last updated
04/17/2019
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