Individual
DR. DIANE CHEN IACOVELLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
1869 DIXWELL AVE, HAMDEN, CT 06514-3145
(203) 408-2248
Mailing address
15 GLENDALE PL, BRANFORD, CT 06405-4816
(610) 256-9862
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS039514
PA
Other
Enumeration date
06/19/2013
Last updated
10/01/2020
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