Individual
FRANK ILLUZZI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
80 SUMMER ST, BARRE, VT 05641-3769
(802) 479-1311
(802) 254-6062
Mailing address
80 SUMMER ST, BARRE, VT 05641-3769
(802) 479-1311
(802) 254-6062
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
016-0000820
VT
Other
Enumeration date
12/11/2006
Last updated
07/08/2007
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