Dr. Peter Armand Bourdeau, DDS
Dentist, General Practice in Warwick, RI. Individual provider (NPI-1).
NPI number1053447193
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1053447193
- Entity type
- Individual (NPI-1)
- Name
- Dr. Peter Armand Bourdeau
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Feb 25, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | DEN01704 | RI | Yes |
Practice location
469 Centerville RdSuite # 107
Warwick, RI 02886-4354
Phone 401-739-2345 · Fax 401-739-2578
Mailing address
469 Centerville RdSuite # 107
Warwick, RI 02886-4354
Phone 401-739-2345 · Fax 401-739-2578
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