Individual
DR. RONALD E DUCHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
501 PORTLAND ST, ST JOHNSBURY, VT 05819-2054
(802) 748-4727
(802) 748-8490
Mailing address
501 PORTLAND ST, ST JOHNSBURY, VT 05819-2054
(802) 748-4727
(802) 748-8490
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
418
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0001385
—
VT
Enumeration date
10/24/2006
Last updated
07/08/2007
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