Individual
DR. GARY DOUGLAS LIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
189 WATERMAN ST, PROVIDENCE, RI 02906-4014
(401) 351-0072
(401) 351-0055
Mailing address
189 WATERMAN ST, PROVIDENCE, RI 02906-4014
(401) 351-0072
(401) 351-0055
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DEN2216
RI
Other
Enumeration date
11/17/2006
Last updated
07/08/2007
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