DR. David Joseph Thibault, D.M.D.
NPI #1104953413 in Stamford, Connecticut
Provider Information
- NPI Number
- 1104953413
- Entity Type
- Individual
- Name
- DR. David Joseph Thibault, D.M.D.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- D.M.D.
- Enumeration Date
- Feb 27, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 15 COMMERCE RD
- City
- Stamford
- State
- Connecticut
- ZIP Code
- 06902-4504
- Phone
- (203) 965-7795
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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