Individual
VINCENT CIANCIULLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
815 HARTFORD TPKE, WATERFORD, CT 06385-4201
(860) 444-0625
(860) 442-7740
Mailing address
815 HARTFORD TPKE, WATERFORD, CT 06385-4201
(860) 444-0625
(860) 442-7740
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5140
CT
Other
Enumeration date
04/24/2007
Last updated
07/08/2007
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