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Organization

SHELBURNE RESTORATIVE DENTISTRY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. PHILIPPE D CHARLEBOIS DMD (DENTIST)
(802) 985-9700
Entity
Organization

Contact information

Practice address
41 FALLS ROAD, SHELBURNE, VT 05482-0471
(802) 985-9700
(802) 985-0134
Mailing address
P.O. BOX 471, SHELBURNE, VT 05482-0471
(802) 985-9700
(802) 985-0134

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
016.0002291
VT

Other

Enumeration date
12/08/2009
Last updated
02/28/2011
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