Individual
DR. DONALD DIB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
839A RIVER RD, SHELTON, CT 06484-5433
(203) 929-1005
(203) 929-1638
Mailing address
839A RIVER RD, SHELTON, CT 06484-5433
(203) 929-1005
(203) 929-1638
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
006651
CT
Other
Enumeration date
10/02/2006
Last updated
07/08/2007
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