Lynn H. Duboff, Dmd, PLLC
Dentist, Periodontics in Rutland, VT. Organization (NPI-2).
NPI number1164073136
StatusActive
Last updated in NPPESSep 21, 2019
Details
- NPI
- 1164073136
- Entity type
- Organization (NPI-2)
- Legal business name
- Lynn H. Duboff, Dmd, PLLC
- Organization subpart
- No
- Enumeration date
- Sep 21, 2019
- Last updated
- Sep 21, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223P0300X | Dentist, Periodontics | – | – | Yes |
Other names
- Complete Health Periodontics (Doing Business As)
Practice location
72 Allen StRutland, VT 05701-4568
Phone 802-779-6137
Mailing address
237 Hawley LnRutland, VT 05701-8979
Phone 802-855-8771
Authorized official
Lynn Harasty Duboff
Dr.
8027796137
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