Individual
BRENDAN C. GOUIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
4995 S COUNTY TRL, CHARLESTOWN, RI 02813-3182
(401) 364-6300
(401) 364-9190
Mailing address
4995 S COUNTY TRL, CHARLESTOWN, RI 02813-3182
(401) 364-6300
(401) 364-9190
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3047
RI
Other
Enumeration date
06/16/2009
Last updated
06/16/2009
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