DR. Gary Douglas Light, D.M.D.
NPI #1578637278 in Providence, Rhode Island
Provider Information
- NPI Number
- 1578637278
- Entity Type
- Individual
- Name
- DR. Gary Douglas Light, D.M.D.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Credential
- D.M.D.
- Enumeration Date
- Nov 17, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 189 WATERMAN ST
- City
- Providence
- State
- Rhode Island
- ZIP Code
- 02906-4014
- Phone
- (401) 351-0072
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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