Individual
LYDIA GLEASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
395 PAINE TPKE N, BERLIN, VT 05602-9157
(802) 229-0561
Mailing address
433 THERRIAULT HILL RD, WILLIAMSTOWN, VT 05679-9683
(802) 272-4498
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
016.0134124
VT
Other
Enumeration date
08/30/2022
Last updated
08/30/2022
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