Organization
CHAMPLAIN SMILE SOLUTIONS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW DAVID GIULIANELLI D.M.D. (OWNER/DENTIST)
(802) 864-6264
Entity
Organization
Contact information
Practice address
110 KIMBALL AVE, SUITE 230, SOUTH BURLINGTON, VT 05403-6833
(802) 864-6264
(802) 864-6402
Mailing address
110 KIMBALL AVE, SUITE 230, SOUTH BURLINGTON, VT 05403-6833
(802) 864-6264
(802) 864-6402
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
016-0002229
VT
1223G0001X
General Practice Dentistry
016-0002257
VT
Other
Enumeration date
12/31/2011
Last updated
12/31/2011
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