| Dr Anna M Bolanis Family Dentistry Inc | |
|
760 West Lakeshore Dr Suite 1 Colchester VT 05446-1580 | |
| (802) 862-9282 | |
| Not Available |
| Full Name | Dr Anna M Bolanis Family Dentistry Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 760 West Lakeshore Dr, Colchester, Vermont |
| Authorized Official Name and Position | Anna M Bolanis (OWNER DENTIST) |
| Authorized Official Contact | 8028629282 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Anna M Bolanis Family Dentistry Inc 760 West Lakeshore Dr Suite 1 Colchester VT 05446-1580 Ph: (802) 862-9282 | Dr Anna M Bolanis Family Dentistry Inc 760 West Lakeshore Dr Suite 1 Colchester VT 05446-1580 Ph: (802) 862-9282 |
| NPI Number | 1740469345 |
|---|---|
| Provider Enumeration Date | 10/31/2007 |
| Last Update Date | 10/31/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740469345 | NPI | - | NPPES |
| 1003605 | Medicaid | VT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 1151 (Vermont) | Primary |
News Archive
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