Organization
GIL D. BOISONEAU, D.D.S.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GIL DAVID BOISONEAU D.D.S. (OWNER)
(860) 643-0688
Entity
Organization
Contact information
Practice address
229 E CENTER ST, MANCHESTER, CT 06040-5207
(860) 643-0688
(860) 432-8495
Mailing address
229 E CENTER ST, MANCHESTER, CT 06040-5207
(860) 643-0688
(860) 432-8495
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
124Q00000X
Dental Hygienist
—
—
126800000X
Dental Assistant
—
—
Other
Enumeration date
03/19/2013
Last updated
03/19/2013
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