Organization
STUART V CORSO DMD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STUART V CORSO DMD (DENTIST/OWNER)
(802) 684-1133
Entity
Organization
Contact information
Practice address
31 MOUNTAIN VIEW DR, DANVILLE, VT 05828-9642
(802) 684-1133
(802) 684-1138
Mailing address
PO BOX 230, DANVILLE, VT 05828-0230
(802) 684-1133
(802) 684-1138
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0160001005
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1001654
—
VT
Enumeration date
05/30/2008
Last updated
05/30/2008
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