Individual
BRIAN DASILVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
148 NORTH RD, EAST WINDSOR, CT 06088-9502
(860) 627-5232
Mailing address
148 NORTH RD, EAST WINDSOR, CT 06088-9502
(860) 627-5232
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11416
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/05/2014
Last updated
06/18/2015
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