Provider Demographics
NPI:1801195789
Name:AUBIN, CHARU K (DDS)
Entity Type:Individual
Prefix:DR
First Name:CHARU
Middle Name:K
Last Name:AUBIN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 MANGS DR
Mailing Address - Street 2:
Mailing Address - City:SHREWSBURY
Mailing Address - State:MA
Mailing Address - Zip Code:01545-4090
Mailing Address - Country:US
Mailing Address - Phone:508-842-4818
Mailing Address - Fax:
Practice Address - Street 1:6 MANGS DR
Practice Address - Street 2:
Practice Address - City:SHREWSBURY
Practice Address - State:MA
Practice Address - Zip Code:01545-4090
Practice Address - Country:US
Practice Address - Phone:508-842-4818
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-03-18
Last Update Date:2011-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MADN17923122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist