person
Adisa Ratanasirintrawoot
Periodontist in South Burlington, Vermont
NPI 1619443546

Adisa Ratanasirintrawoot is a Periodontist based in Burlington, VT and is specialized in Periodontics. Adisa Ratanasirintrawoot practices in South Burlington, VT. The NPI Number for Adisa Ratanasirintrawoot is 1619443546 and holds a License No. 016.0134058 (Vermont).

The current practice location address for Adisa Ratanasirintrawoot is 1775 Williston Rd, South Burlington, VT and can be reached out via phone at 802-863-5447. You can also correspond with Adisa Ratanasirintrawoot through the mailing address at 77 PINE ST APT 509, BURLINGTON, VT - 05401-5945 (mailing address contact number: 857-361-2255).

Location: 1775 Williston Rd, South Burlington, VT, 05401-5945
person
Provider Profile Details
NPI Number
1619443546
Provider Name
Adisa Ratanasirintrawoot
Credential
Provider Entity Type
Individual
Gender
Female
Address
1775 Williston Rd, South Burlington, VT, 05401-5945
Phone Number
802-863-5447
Fax Number
Provider Enumeration Date
10/18/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1775 Williston Rd
City
State
Zip
05403-6491
Phone Number
802-863-5447
Fax Number
person
Provider Business Mailing Address Details
Address
1775 Williston Rd
City
State
Zip
05403-6491
Phone Number
802-863-5447
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Periodontics
Taxonomy
License No.
016.0134058 (Vermont)
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
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