Individual
DR. DANETTE RISO ILLIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
71 EAST AVE, SUITE A, NORWALK, CT 06851-4903
(203) 838-5322
Mailing address
71 EAST AVE, SUITE A, NORWALK, CT 06851-4903
(203) 838-5322
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
7995
CT
Other
Enumeration date
03/07/2006
Last updated
07/08/2007
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