Organization
MENDILLO FAMILY DENTISTRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HILLARY ANNE MENDILLO DDS (OWNER)
(203) 488-6314
Entity
Organization
Contact information
Practice address
62 KIRKHAM ST, BRANFORD, CT 06405-3504
(203) 488-6314
Mailing address
62 KIRKHAM ST, BRANFORD, CT 06405-3504
(203) 488-6314
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1144584954
NPPES
—
01
—
1356479273
NPPES
—
Enumeration date
01/07/2020
Last updated
01/07/2020
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