Individual
DR. KEN M. BURCHESKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1 MAIN ST., LYNDONVILLE, VT 05851-0974
(802) 626-3235
Mailing address
PO BOX 974, LYNDONVILLE, VT 05851-0974
(802) 626-3235
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
016-0000550
VT
Other
Enumeration date
02/27/2009
Last updated
02/27/2009
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