Robert Trent Daffner, DMD

NPI #1598850802 in Providence, Rhode Island

Provider Information

NPI Number: 1598850802
Entity Type: Individual
Name: Robert Trent Daffner, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DMD
Enumeration Date: Oct 3, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 830 CHALKSTONE AVE
Address 2: VAMC PROVIDENCE - DENTAL SERVICE 650
City: Providence
State: Rhode Island
ZIP Code: 02908-4734
Phone: (401) 457-3018

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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