Individual
RILEY NICOLE HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
6 NORTH ST, BARRE, VT 05641-3810
(802) 476-4812
Mailing address
22 JENSEN RD, BARRE, VT 05641-8601
(218) 230-9756
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
016.0134017
VT
Other
Enumeration date
06/12/2021
Last updated
06/12/2021
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