Individual
DR. DAVID JOSEPH THIBAULT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
15 COMMERCE RD, STAMFORD, CT 06902-4504
(203) 965-7795
Mailing address
15 COMMERCE RD, STAMFORD, CT 06902-4504
(203) 965-7795
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7085
CT
Other
Enumeration date
02/27/2007
Last updated
07/08/2007
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