Individual
DR. GREGORY S THEBERGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1740 ATWOOD AVE, JOHNSTON, RI 02919-3214
(401) 233-9800
(401) 233-9898
Mailing address
1740 ATWOOD AVE, JOHNSTON, RI 02919-3214
(401) 233-9800
(401) 233-9898
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
DENO2364
RI
Other
Enumeration date
02/15/2007
Last updated
07/08/2007
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