Maple View Oral And Maxillofacial Surgery, PC
Dentist, Oral and Maxillofacial Surgery in Middlebury, VT. Organization (NPI-2).
NPI number1699001024
StatusActive
Last updated in NPPESOct 20, 2009
Details
- NPI
- 1699001024
- Entity type
- Organization (NPI-2)
- Legal business name
- Maple View Oral And Maxillofacial Surgery, PC
- Organization subpart
- No
- Enumeration date
- Oct 20, 2009
- Last updated
- Oct 20, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223S0112X | Dentist, Oral and Maxillofacial Surgery | – | – | Yes |
Practice location
58 Court StMiddlebury, VT 05753-4450
Phone 802-388-6344 · Fax 802-388-4103
Mailing address
58 Court StMiddlebury, VT 05753-4450
Phone 802-388-6344 · Fax 802-388-4103
Authorized official
Scott Bowen
President
8023886344
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