| Ryan D. Goslin, Dds, Pc | |
|
48 Clarke St Burlington VT 05401-3754 | |
| (802) 658-4777 | |
| (802) 658-4809 |
| Full Name | Ryan D. Goslin, Dds, Pc |
|---|---|
| Speciality | Dentist |
| Location | 48 Clarke St, Burlington, Vermont |
| Authorized Official Name and Position | Ryan D Goslin (DENTIST / OWNER) |
| Authorized Official Contact | 8026584777 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ryan D. Goslin, Dds, Pc 48 Clarke St Burlington VT 05401-3754 Ph: () - | Ryan D. Goslin, Dds, Pc 48 Clarke St Burlington VT 05401-3754 Ph: (802) 658-4777 |
| NPI Number | 1346424645 |
|---|---|
| Provider Enumeration Date | 12/21/2007 |
| Last Update Date | 12/21/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346424645 | NPI | - | NPPES |
| 1011744 | Medicaid | VT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 016-0002155 (Vermont) | Primary |
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