Organization
CONNECTICUT VALLEY ORAL SURGERY ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CANDY EBBIGHAUSEN (ADMINISTRATOR)
(603) 357-3709
Entity
Organization
Contact information
Practice address
368 CANAL ST, BRATTLEBORO, VT 05301-6618
(802) 254-9418
(802) 254-2563
Mailing address
368 CANAL ST, BRATTLEBORO, VT 05301
(802) 254-9418
(802) 254-2563
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
—
—
Other
Enumeration date
07/23/2006
Last updated
12/15/2022
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