Individual
DR. VILMA VIOLETA PELAEZ ANNICELLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
469 MIGEON AVE, TORRINGTON, CT 06790
(860) 469-0931
Mailing address
469 MIGEON AVE, TORRINGTON, CT 06790-4643
(860) 469-0931
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
009881
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008024018
—
CT
Enumeration date
06/25/2007
Last updated
10/27/2011
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