West River Family Dental | |
74 Grafton Rd Townshend VT 05353-0262 | |
(802) 365-4313 | |
Not Available |
Full Name | West River Family Dental |
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Speciality | Dentist - General Practice |
Location | 74 Grafton Rd, Townshend, Vermont |
Authorized Official Name and Position | Jared Vernon Rediske (DENTIST) |
Authorized Official Contact | 8023654313 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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West River Family Dental 74 Grafton Road Po Box 262 Townshend VT 05353 Ph: (802) 365-4313 | West River Family Dental 74 Grafton Rd Townshend VT 05353-0262 Ph: (802) 365-4313 |
NPI Number | 1568794295 |
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Provider Enumeration Date | 02/05/2010 |
Last Update Date | 02/05/2010 |
Identifier | Type | State | Issuer |
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1568794295 | NPI | - | NPPES |
1013633 | Medicaid | VT |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | 0160002226 (Vermont) | Primary |