| Willard Street Family Dental | |
|
27 N Willard St Burlington VT 05401-3312 | |
| (802) 862-8625 | |
| Not Available |
| Full Name | Willard Street Family Dental |
|---|---|
| Speciality | Dentist |
| Location | 27 N Willard St, Burlington, Vermont |
| Authorized Official Name and Position | Adam C Desanctis (DENTIST) |
| Authorized Official Contact | 8028684792 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Willard Street Family Dental 27 N Willard St Burlington VT 05401-3312 Ph: (802) 862-8625 | Willard Street Family Dental 27 N Willard St Burlington VT 05401-3312 Ph: (802) 862-8625 |
| NPI Number | 1427226380 |
|---|---|
| Provider Enumeration Date | 02/13/2008 |
| Last Update Date | 02/13/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427226380 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 0160002122 (Vermont) | Primary |
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