Individual
DR. DANIELLE PANNESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
968 FAIRFIELD AVE, BRIDGEPORT, CT 06605-1116
(203) 332-3500
(203) 382-9496
Mailing address
968 FAIRFIELD AVE, BRIDGEPORT, CT 06605-1116
(203) 332-3500
(203) 382-9496
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
009600
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004236122
—
CT
Enumeration date
07/16/2008
Last updated
07/16/2008
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