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STANLEY PIZZITOLA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
1888 MAIN ST, HARTFORD, CT 06120-2357
(860) 768-9052
Mailing address
PO BOX 143922, ARECIBO, PR 00614-3922
(939) 630-0221
(787) 815-5172

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
001751
PR
1223G0001X
General Practice Dentistry
Primary
12402
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
206925
PREFERRED HEALTH
PR
01
41609
TRIPLE SSS
PR
01
5831
IMC
PR
Enumeration date
07/11/2005
Last updated
01/24/2020
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