Individual
CHAD ANZILOTTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1415 FOULK RD STE 201, WILMINGTON, DE 19803-2748
(302) 230-3084
(302) 230-3082
Mailing address
1415 FOULK RD STE 201, WILMINGTON, DE 19803-2748
(302) 230-3084
(302) 230-3082
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
G3-0000347
DE
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/15/2008
Last updated
07/02/2009
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