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Individual

DR. PETER MYLES WOOLHOUSE

Active
Sole proprietor

Provider details

NPI number
Gender
Man

Contact information

Practice address
53 MAIN ST, RICHFORD, VT 05476-1151
(802) 848-3829
(802) 848-7554
Mailing address
440 GREEN MOUNTAIN ROAD, MONTGOMERY, VT 05470
(514) 932-5954
(514) 932-1565

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
016-0002132
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1008570
VT
Enumeration date
11/07/2005
Last updated
07/08/2007
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