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DR. WILLIAM LANDON DENNISON MD
>> Specialist >> Other Service ProvidersRegistrant NPI Number: 1639121031
Individual Registrant:DR. WILLIAM LANDON DENNISON MD
Gender: M
Not Sole Proprietor
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
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: --
Tel: 802-482-2797 Fax: --
Registration Information:
NPI: 1639121031
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 174400000X | Other Service Providers Specialist | VT | 0420003901 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
