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DR. WILLIAM LANDON DENNISON MD

>> Specialist >> Other Service Providers

Registrant NPI Number: 1639121031

Individual Registrant:
DR. WILLIAM LANDON DENNISON MD
Gender: M
Not Sole Proprietor

Location and contact information for practice:
368 DORSET ST SUITE 2 S BURLINGTON, VT 05403-6212 US
Tel: 802-864-0192  Fax: 802-960-4919

Contact information for business:
PO BOX 138  HINESBURG, VT 05461-0138 US
Tel: 802-482-2797  Fax: --

Registration Information:
NPI: 1639121031
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y174400000XOther Service Providers
Specialist
VT0420003901

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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