Deloach, Mary Kathryn
Deloach, Mary Kathryn is an sole proprietor health care provider with primary practice located at 60 Timber Ln , South Burlington VT 05403-7214. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Dental Providers / General Practice. Dental Providers / General Practice is her primary health care specialty. Deloach, Mary Kathryn can be contacted via phone (802) 864-6881.Contact Information
Primary practice address
60 Timber Ln
South Burlington VT 05403-7214
Phone: (802) 864-6881
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | Vermont | |
| Dental Providers / General Practice | 1223G0001X | 016.0095505 | Vermont |
Profile Details
| NPI number | 1235405424 |
|---|---|
| LBN Legal business name | Deloach, Mary Kathryn |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 1st, 2012 |
| Last updated | May 30th, 2013 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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