Individual
EDMUND DAVID D'ONOFRIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1415 NEWFIELD AVE, STAMFORD, CT 06905-1415
(203) 329-2150
Mailing address
1415 NEWFIELD AVE, STAMFORD, CT 06905-1415
(203) 329-2150
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
4344
CT
Other
Enumeration date
08/01/2006
Last updated
07/08/2007
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