| Gaetan D. Charbonneau, Dmd, Ltd | |
|
24 Salt Pond Rd Ste A2 Wakefield RI 02879-4304 | |
| (401) 783-4223 | |
| (401) 783-1228 |
| Full Name | Gaetan D. Charbonneau, Dmd, Ltd |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 24 Salt Pond Rd Ste A2, Wakefield, Rhode Island |
| Authorized Official Name and Position | Gaetan Charbonneau (DENTIST/ PRESIDENT) |
| Authorized Official Contact | 4017834223 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gaetan D. Charbonneau, Dmd, Ltd 24 Salt Pond Rd Ste A2 Wakefield RI 02879-4304 Ph: (401) 783-4223 | Gaetan D. Charbonneau, Dmd, Ltd 24 Salt Pond Rd Ste A2 Wakefield RI 02879-4304 Ph: (401) 783-4223 |
| NPI Number | 1225740988 |
|---|---|
| Provider Enumeration Date | 12/14/2022 |
| Last Update Date | 12/14/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225740988 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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