Individual
BRUCE TODD VERMILYEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
175 E MILL STR, RICHLAND CENTER, WI 53581
(608) 647-8868
(608) 647-9118
Mailing address
PO BOX 368, 175 E MILL STR, RICHLAND CENTER, WI 53581
(608) 647-8868
(608) 647-9118
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5002202
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33380900
—
WI
Enumeration date
04/17/2007
Last updated
07/08/2007
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