Organization
B AND J DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHERINE POWELL DMD (DENTIST)
(802) 244-6366
Entity
Organization
Contact information
Practice address
77 S MAIN ST STE 3, WATERBURY, VT 05676-1523
(802) 244-6366
Mailing address
77 S MAIN ST STE 3, WATERBURY, VT 05676-1523
(802) 244-6366
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1881080414
—
VT
Enumeration date
07/25/2021
Last updated
07/25/2021
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