Pelaez Annicelle, Vilma Violeta

Pelaez Annicelle, Vilma Violeta is an individual health care provider with primary practice located at 469 Migeon Ave , Torrington CT 06790. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Pelaez Annicelle, Vilma Violeta can be contacted via phone (860) 469-0931.

Contact Information

Primary practice address
469 Migeon Ave Torrington CT 06790
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 009881 Connecticut

Profile Details

NPI number 1528264884
LBN Legal business name Pelaez Annicelle, Vilma Violeta
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 25th, 2007
Last updated Oct 27th, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528264884 NPPES
Connecticut MEDICAID 008024018

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