Fair Haven Dental | |
129b N Main St Fair Haven VT 05743-1132 | |
(802) 265-3604 | |
(802) 251-0022 |
Full Name | Fair Haven Dental |
---|---|
Speciality | Clinic/center - Dental |
Location | 129b N Main St, Fair Haven, Vermont |
Authorized Official Name and Position | Fadi Jamil Hawwash (OWNER) |
Authorized Official Contact | 8022653604 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Fair Haven Dental Po Box 37 Fair Haven VT 05743-0037 Ph: (802) 265-3604 | Fair Haven Dental 129b N Main St Fair Haven VT 05743-1132 Ph: (802) 265-3604 |
NPI Number | 1174814156 |
---|---|
Provider Enumeration Date | 04/26/2011 |
Last Update Date | 04/26/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1174814156 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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