Vincent Antonelli, DDS Valid NPI

Individual provider · Dentist · Groton, CT

NPI

1497965982

Type

Individual (Type 1)

Primary specialty

Dentist

Specialty group

Dental Providers

Taxonomy code

122300000X

License number

7883 (CT)

Sex

Male

Sole proprietor

Yes

Enumerated

2007-05-23

Last updated

2007-07-08