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MELISSA BOISVERT RDH

>> Dental Hygienist >> Dental Providers

Registrant NPI Number: 1598905267

Individual Registrant:
 MELISSA  BOISVERT RDH
Gender: F
Not Sole Proprietor

Location and contact information for practice:
151 NORTH MAIN STREET  HARDWICK, VT 05843-0537 US
Tel: 802-472-2260  Fax: --

Contact information for business:
2747 VT ROUTE 15 E  MORRISVILLE, VT 05661-8644 US
Tel: 802-888-2660  Fax: --

Registration Information:
NPI: 1598905267
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y124Q00000XDental Providers
Dental Hygienist
VT015-0001605

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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