Individual
DR. DOUGLAS STEPHEN BARIBEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1026 SUPERIOR ST, PORT HURON, MI 48060-3748
(810) 987-5040
(810) 987-9499
Mailing address
1026 SUPERIOR ST, PORT HURON, MI 48060-3748
(810) 987-5040
(810) 987-9499
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
2901010283
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4032586
—
MI
Enumeration date
05/06/2006
Last updated
07/26/2022
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