Individual
WILLIAM J DRISCOLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
415 MAIN STREET, WEST HAVEN, CT 06516
(203) 933-2464
(203) 933-2464
Mailing address
415 MAIN STREET, WEST HAVEN, CT 06516
(203) 933-2464
(203) 933-2464
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4661
CT
Other
Enumeration date
02/14/2007
Last updated
07/08/2007
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