ROBERT TRENT DAFFNER

PROVIDENCE, RI
NPI1598850802
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: CA  49085)
Enumeration Date2006-10-03
Last Update Date2007-07-08
Business Address
-- ROBERT TRENT DAFFNER DMD
830 CHALKSTONE AVE VAMC PROVIDENCE - DENTAL SERVICE 650
PROVIDENCE, RI 02908-4734
Phone number: 401-457-3018
Mailing Address
-- ROBERT TRENT DAFFNER DMD
830 CHALKSTONE AVE VAMC PROVIDENCE - DENTAL SERVICE 650
PROVIDENCE, RI 02908-4734
Phone number: 401-457-3018