Paul E. Gauthier D.d.s., P.a. | |
65 Thomas Johnson Dr Ste B Frederick MD 21702-4371 | |
(301) 698-0044 | |
Not Available |
Full Name | Paul E. Gauthier D.d.s., P.a. |
---|---|
Speciality | Dentist - General Practice |
Location | 65 Thomas Johnson Dr Ste B, Frederick, Maryland |
Authorized Official Name and Position | Paul Edward Gauthier (DENTIST) |
Authorized Official Contact | 3016980044 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Paul E. Gauthier D.d.s., P.a. 201 Grove Blvd Frederick MD 21701-4810 Ph: (301) 696-5574 | Paul E. Gauthier D.d.s., P.a. 65 Thomas Johnson Dr Ste B Frederick MD 21702-4371 Ph: (301) 698-0044 |
NPI Number | 1073735486 |
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Provider Enumeration Date | 05/03/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1073735486 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 7909 (Maryland) | Primary |
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