Individual
DIANA M. CICCHIELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
255 AMOS WHITE RD, SOUTHBURY, CT 06488-2684
(203) 695-5033
Mailing address
255 AMOS WHITE RD, SOUTHBURY, CT 06488-2684
(203) 695-5033
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
009613
CT
Other
Enumeration date
01/09/2008
Last updated
01/09/2008
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