Organization
GREEN MOUNTAIN DENTAL, PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TYLER ATEN DMD (OWNER/PRINCIPAL)
(802) 863-3950
Entity
Organization
Contact information
Practice address
118 TILLEY DR STE 101, SOUTH BURLINGTON, VT 05403-4450
(802) 863-3950
(802) 863-6013
Mailing address
118 TILLEY DR STE 101, SOUTH BURLINGTON, VT 05403-4450
(802) 863-3950
(802) 863-6013
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/03/2018
Last updated
01/03/2018
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