Individual
BRIAN A FUSILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
ONE ASPETUCK AVE, NEW MILFORD, CT 06776
(860) 355-4137
(860) 355-4139
Mailing address
36 PADANARAM RD, DENTAL ASSOCIATES OF CT PC, DANBURY, CT 06811
(203) 748-5717
(203) 748-4340
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
009836
CT
Other
Enumeration date
04/18/2008
Last updated
04/18/2008
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