DR. MARK THIBAULT, DDS
Dentist - General Practice
Active
Individual
NPI: 1750491239
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist - General Practice | 1223G0001X | Yes | 36440 (CA) |
Frequently Asked Questions
NPI 1750491239 is the National Provider Identifier for DR. MARK THIBAULT, DDS, a Dentist - General Practice provider located in Pinole, CA. This NPI was enumerated on August 30, 2006.
DR. MARK THIBAULT, DDS practices at 1330 TARA HILLS DR, SUITE K, Pinole, CA 94564.
Quick Facts
- NPI
- 1750491239
- Type
- Individual
- Enumerated
- Aug 30, 2006
- Last Updated
- Jul 8, 2007
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