Organization

West River Family Dental Brattleboro

Dental Clinic/Center in Brattleboro, VT(View on Map)

Legal Business Name

West River Family Dental Brattleboro

NPI Number

1629324942

NPI Type

Organization

Enumeration Date

07/24/2012

Specialties

(Taxonomies)

Code

261QD0000X

Primary Taxonomy

Yes

Licenses

State

Vermont

License Number

016-0002226

Contact
Information

Purpose

Mailing
Location

Address

36 PARK PL
36 PARK PL

City

Brattleboro
Brattleboro

State

VT
VT

Postal Code

05301-2802
05301-2802

Country

US
US

Telephone Number

(802) 254-8322
(802) 254-8322

Authorized Official

Name

Jared Rediske

Title or Position

OWNER

Telephone Number

(802) 254-8322

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/24/2012

Provider Address

Other Dental Clinic/Center in Brattleboro, Vermont:

Organization

Windham County Dental Center Inc

May also be known as Windham County Dental Center
Brattleboro, VT

Specialty: Dental Clinic/Center (Primary)