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Organization
THOMAS D. CHARBENEAU, DDS, MSD, PA
Active
Organization
THOMAS D. CHARBENEAU, DDS, MSD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS D. CHARBENEAU D.D.S. (OWNER)
(903) 785-4832
Entity
Organization
Contact information
Practice address
3420 CLARKSVILLE ST, PARIS, TX 75460-8014
(903) 785-4832
(903) 785-3807
Mailing address
3420 CLARKSVILLE ST, PARIS, TX 75460-8014
(903) 785-4832
(903) 785-3807
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
11554
TX
Other
Enumeration date
08/13/2006
Last updated
08/22/2020
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