Individual
DR. PHILIPPE GAUTHIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
100 E NEWTON ST, G705, BOSTON, MA 02118-2308
(617) 638-6661
Mailing address
100 E NEWTON ST, G705, BOSTON, MA 02118-2308
(617) 638-6661
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DL11465
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DL11465
—
MA
Enumeration date
11/30/2011
Last updated
11/30/2011
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