Thomas James Thibault, DMD

NPI #1154474666 in East Lyme, Connecticut

Provider Information

NPI Number
1154474666
Entity Type
Individual
Name
Thomas James Thibault, DMD
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - Orthodontics and Dentofacial Orthopedics
Credential
DMD
Enumeration Date
Jan 19, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
208 BOSTON POST RD.
ZIP Code
06333-1613
Phone
(860) 739-3190

Specialties & Taxonomy Codes

Specialty
Dentist - Orthodontics and Dentofacial OrthopedicsOrthodontics and Dentofacial Orthopedics

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