Individual
DR. JOANN LOIS VALLERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
175 WEST RD, ELLINGTON, CT 06029-3730
(860) 872-2454
(860) 870-1385
Mailing address
175 WEST RD, ELLINGTON, CT 06029-3730
(860) 872-2454
(860) 870-1385
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
CT007869
CT
Other
Enumeration date
05/15/2007
Last updated
07/08/2007
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