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Individual

DR. ROBERT STEPHEN KOLODZEJ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
4 GENERAL WING RD, RUTLAND, VT 05701-4682
(802) 775-0819
(802) 775-1487
Mailing address
4 GENERAL WING RD, RUTLAND, VT 05701-4682
(802) 775-0819
(802) 775-1487

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
769
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0002398
VT
Enumeration date
07/11/2006
Last updated
07/08/2007
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