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Individual

DR. PETER ARMAND BOURDEAU

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
469 CENTERVILLE RD, SUITE # 107, WARWICK, RI 02886-4354
(401) 739-2345
(401) 739-2578
Mailing address
469 CENTERVILLE RD, SUITE # 107, WARWICK, RI 02886-4354
(401) 739-2345
(401) 739-2578

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DEN01704
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
8970-6
BLUE CROSS DENTAL INS.
RI
Enumeration date
02/25/2007
Last updated
07/08/2007
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