Individual
JAMES R LASAPONARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
617 RIVERSIDE AVENUE, THE DENTAL CENTER AT CHCB, BURLINGTON, VT 05401-1601
(802) 652-1050
(802) 652-1056
Mailing address
267 PEARL ST, UNIT #B-3, BURLINGTON, VT 05401-8564
(802) 864-1927
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0160001135
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0160001135
STATE LICENSE
VT
05
—
1611863
—
VT
Enumeration date
10/04/2006
Last updated
11/01/2012
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