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Organization

BRUCE C LATELLE & ALBERT ST.AMAND DDS PTR

Active
Other names
associates in comprehensive dental care
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BRUCE C LATELLE (DOCOTOR)
(802) 878-1170
Entity
Organization

Contact information

Practice address
25 BISHOP AVE, WILLISTON, VT 05495-7871
(802) 878-1170
(802) 879-7139
Mailing address
25 BISHOP AVE, WILLISTON, VT 05495-7871
(802) 878-1170
(802) 879-7139

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
525
VT
1223G0001X
General Practice Dentistry
Primary
534
VT

Other

Enumeration date
01/17/2007
Last updated
06/18/2008
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