Individual provider · Type 1 NPI
Danette Riso Illig, DMD
Periodontics · Norwalk, CT
NPI number
1629045851
Active
Practice location
71 East Ave, Suite A
Norwalk, CT 06851-4903
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Periodontics Primary | 1223P0300X | 7995 (CT) |
Periodontics: 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.
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Other periodontics providers in Norwalk
About NPI 1629045851
Danette Riso Illig, DMD's National Provider Identifier is 1629045851, issued on Mar 7, 2006. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Norwalk, CT. The record was last updated on Jul 8, 2007.