Champagne and Light, Dmds, LLC
NPI #1548439417 in Providence, Rhode Island
Provider Information
- NPI Number
- 1548439417
- Entity Type
- Organization
- Organization Name
- Champagne and Light, Dmds, LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Feb 26, 2008
- Last Updated
- Feb 26, 2008
Practice Location
- Address
- 189 WATERMAN ST
- City
- Providence
- State
- Rhode Island
- ZIP Code
- 02906-4014
- Phone
- (401) 351-0072
Authorized Official
- Name
- DR. GARY DOUGLAS LIGHT, D.M.D.
- Title
- PRINCIPAL
- Phone
- (401) 351-0072
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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