Organization
ST. ALBANS DENTAL PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TYLER ATEN DMD (OWNER)
(802) 793-9633
Entity
Organization
Contact information
Practice address
34 MAPLEVILLE DEPOT, SAINT ALBANS, VT 05478-1857
(802) 524-4844
Mailing address
34 MAPLEVILLE DEPOT, SAINT ALBANS, VT 05478-1857
(802) 524-4844
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
07/03/2019
Last updated
07/03/2019
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