Gaetan Donald Charbonneau DMD

NPI 1013926716 - Dentist - 122300000X

NPI Details
NPI 1013926716
Gender Male
Enumeration Date 08/05/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
24 SALT POND RD SUITE A2
SOUTH KINGSTOWN OFFICE PARK
WAKEFIELD RI, 02879, US
Phone (401) 783-4223
Fax (401) 783-1228
Business Location
24 SALT POND RD SUITE A2
SOUTH KINGSTOWN OFFICE PARK
WAKEFIELD RI, 02879, US
Phone (401) 783-4223
Fax (401) 783-1228
Toxanomy
Taxonomy Code 122300000X
License State Rhode Island
License Number DEN01889
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According to our database, Gaetan Donald Charbonneau DMD NPI is 1013926716, taxonomy code is 122300000X and license number is DEN01889, license state is located at Rhode Island. Gaetan Donald Charbonneau DMD physically located at 24 Salt Pond Rd Suite A2, Wakefield RI, 02879. NPI Number Gaetan Donald Charbonneau DMD has the Individual type.

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1013926716 NPI number is provided on an as is basis without warranty of any kind. 1013926716 is maintained by the National Plan & Provider Enumeration System. The contents of Gaetan Donald Charbonneau DMD are for informational purposes only.