Individual
DR. RICHARD DIOTALEVI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
24 TIMBER LN, BETHANY, CT 06524-3332
(203) 393-0265
Mailing address
24 TIMBER LN, BETHANY, CT 06524-3332
(203) 393-0265
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
006208
CT
Other
Enumeration date
04/21/2008
Last updated
04/21/2008
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