Individual
DR. ALAN RISSOLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
10 MOTT AVE, NORWALK, CT 06850-3320
(203) 853-0500
(203) 853-0501
Mailing address
10 MOTT AVE, NORWALK, CT 06850-3320
(203) 853-0500
(203) 853-0501
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
007285
CT
Other
Enumeration date
07/26/2006
Last updated
07/08/2007
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