Individual
DONALD JOSEPH ANNICELLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4699 MAIN ST, SUITE 200, BRIDGEPORT, CT 06606-1830
(203) 372-3726
(203) 374-1452
Mailing address
4699 MAIN ST, SUITE 200, BRIDGEPORT, CT 06606-1830
(203) 372-3726
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
009876
CT
Other
Enumeration date
12/05/2007
Last updated
07/01/2008
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