Organization
PAUL E. GAUTHIER D.D.S., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL EDWARD GAUTHIER D.D.S. (DENTIST)
(301) 698-0044
Entity
Organization
Contact information
Practice address
65 THOMAS JOHNSON DR STE B, FREDERICK, MD 21702-4371
(301) 698-0044
Mailing address
201 GROVE BLVD, FREDERICK, MD 21701-4810
(301) 696-5574
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7909
MD
Other
Enumeration date
05/03/2007
Last updated
08/22/2020
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