Individual
DR. HENRI PAUL CARBONNEAU JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
159 LAKESIDE DR, ANDOVER, CT 06232-1535
(860) 742-7144
Mailing address
159 LAKESIDE DR, ANDOVER, CT 06232-1535
(860) 742-7144
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
4052
CT
Other
Enumeration date
08/17/2006
Last updated
10/02/2012
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