Individual
DAVID NILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
320 POST ROAD, FAIRFIELD, CT 06824
(203) 254-3780
Mailing address
76 ELM ST, ANSONIA, CT 06401-3310
(978) 273-0154
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
11188
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/05/2013
Last updated
07/09/2014
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