Healthcare Provider Details

I. General information

NPI: 1144043530
Provider Name (Legal Business Name): CVO AQUISITION PLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/04/2024
Last Update Date: 11/04/2024
Certification Date: 11/04/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

85 WASHINGTON ST STE 2
BARRE VT
05641-4297
US

IV. Provider business mailing address

85 WASHINGTON ST STE 2
BARRE VT
05641-4297
US

V. Phone/Fax

Practice location:
  • Phone: 802-476-6373
  • Fax:
Mailing address:
  • Phone: 802-476-6373
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License Number
License Number State

VIII. Authorized Official

Name: DR. GARY E BEDROSIAN
Title or Position: OWNER
Credential: DDS, MSD
Phone: 518-429-3791