Individual
DR. DENNIS S GIANOLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5 WEBSTER SQUARE ROAD, BERLIN, CT 06037-2326
(860) 828-3559
(860) 828-1485
Mailing address
5 WEBSTER SQUARE ROAD, BERLIN, CT 06037-2326
(860) 828-3559
(860) 828-1485
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
4901
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2049013
—
CT
Enumeration date
09/06/2006
Last updated
07/08/2007
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