Gaetan D. Charbonneau, Dmd, Ltd
NPI #1225740988 in Wakefield, Rhode Island
Provider Information
- NPI Number
- 1225740988
- Entity Type
- Organization
- Organization Name
- Gaetan D. Charbonneau, Dmd, Ltd
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Dec 14, 2022
- Last Updated
- Dec 14, 2022
Practice Location
- Address
- 24 SALT POND RD STE A2
- City
- Wakefield
- State
- Rhode Island
- ZIP Code
- 02879-4304
- Phone
- (401) 783-4223
Authorized Official
- Name
- GAETAN CHARBONNEAU, DMD
- Title
- DENTIST/ PRESIDENT
- Phone
- (401) 783-4223
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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