DR. DONALD THERIAULT, DMD
Dentist - Periodontics
Active
Individual
NPI: 1669502795
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist - Periodontics | 1223P0300X | Yes | 2974 (ME) |
Frequently Asked Questions
NPI 1669502795 is the National Provider Identifier for DR. DONALD THERIAULT, DMD, a Dentist - Periodontics provider located in Portland, ME. This NPI was enumerated on March 7, 2007.
DR. DONALD THERIAULT, DMD practices at 595 BRIGHTON AVE, Portland, ME 04102.
Quick Facts
- NPI
- 1669502795
- Type
- Individual
- Enumerated
- Mar 7, 2007
- Last Updated
- Jul 8, 2007
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