| Gil D. Boisoneau, D.d.s. | |
|
229 E Center St Manchester CT 06040-5207 | |
| (860) 643-0688 | |
| (860) 432-8495 |
| Full Name | Gil D. Boisoneau, D.d.s. |
|---|---|
| Speciality | Dentist |
| Location | 229 E Center St, Manchester, Connecticut |
| Authorized Official Name and Position | Gil David Boisoneau (OWNER) |
| Authorized Official Contact | 8606430688 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gil D. Boisoneau, D.d.s. 229 E Center St Manchester CT 06040-5207 Ph: (860) 643-0688 | Gil D. Boisoneau, D.d.s. 229 E Center St Manchester CT 06040-5207 Ph: (860) 643-0688 |
| NPI Number | 1063754976 |
|---|---|
| Provider Enumeration Date | 03/19/2013 |
| Last Update Date | 03/19/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063754976 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
| 124Q00000X | Dental Hygienist | (* (Not Available)) | Secondary |
| 126800000X | Dental Assistant | (* (Not Available)) | Secondary |
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