Individual
DR. ANDRE EUGENE ST GERMAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD MSCD
Contact information
Practice address
EMERALD ST, TUFTS DENTAL FACILITY AT WRENTHAM, WRENTHAM, MA 02093-1902
(508) 384-8987
(508) 384-6594
Mailing address
PO BOX 151, 30 FRANKLIN TERRACE, VINEYARD HAVEN, MA 02568-0151
(508) 693-0307
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN106081
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DN106081
MASS DENTAL LICENSE
MA
Enumeration date
03/07/2007
Last updated
07/08/2007
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