Organization
THOMAS D. CHARBENEAU, DDS, MSD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS D. CHARBENEAU D.D.S. (OWNER)
(903) 785-4832
Entity
Organization
Contact information
Practice address
3420 CLARKSVILLE ST, PARIS, TX 75460-8014
(903) 785-4832
(903) 785-3807
Mailing address
3420 CLARKSVILLE ST, PARIS, TX 75460-8014
(903) 785-4832
(903) 785-3807
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
11554
TX
Other
Enumeration date
08/13/2006
Last updated
08/22/2020
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