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Individual
SHAUNA L GAUTHIER
Active
Individual
SHAUNA L GAUTHIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
03806
NH
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
052754
NY
Other
Enumeration date
11/09/2006
Last updated
05/28/2026
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