Organization
VERMONT DENTAL MEDICINE PLLC
Active
Other names
Vermont Orofacial Pain Associates
Organization subpart
No
Provider details
NPI number
Authorized official
REIMY EVANGELISTA DE LEON DDS, CAGS, MS (OWNER)
(781) 385-0484
Entity
Organization
Contact information
Practice address
40 TIMBER LN, SOUTH BURLINGTON, VT 05403-7204
(802) 862-7185
(802) 658-8036
Mailing address
40A TIMBER LN, SOUTH BURLINGTON, VT 05403-7204
(802) 862-7185
(802) 658-8036
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
016-0000615
VT
261QD0000X
Dental Clinic/Center
—
—
Other
Enumeration date
01/30/2007
Last updated
05/28/2024
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