Chad Anzilotti
Dentist, General Practice in Wilmington, DE. Individual provider (NPI-1).
NPI number1972770121
StatusActive
Last updated in NPPESJul 2, 2009
Details
- NPI
- 1972770121
- Entity type
- Individual (NPI-1)
- Name
- Chad Anzilotti
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 15, 2008
- Last updated
- Jul 2, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | G3-0000347 | DE | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
1415 Foulk Rd Ste 201Wilmington, DE 19803-2748
Phone 302-230-3084 · Fax 302-230-3082
Mailing address
1415 Foulk Rd Ste 201Wilmington, DE 19803-2748
Phone 302-230-3084 · Fax 302-230-3082
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