DR. DANETTE RISO ILLIG D.M.D. NPI 1629045851

NPI Information

DR. Danette Riso Illig, D.M.D. is a periodontics dentist in Norwalk, CT. The provider is that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. DR. Danette Riso Illig, D.M.D. NPI is 1629045851. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

71 EAST AVE
SUITE A
NORWALK, CT
ZIP 06851-903
Phone: (203) 838-5322

The enumeration date for this NPI number is 3/7/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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