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Individual

STACEY ZIRILLI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
497 MAIN ST, ANSONIA, CT 06401-2333
(203) 735-4701
Mailing address
390 1ST AVE APT 7H, NEW YORK, NY 10010-4941
(561) 445-8428

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
061359
NY
1223G0001X
General Practice Dentistry
Primary
13340
CT

Other

Enumeration date
07/03/2019
Last updated
03/06/2023
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