Provider Demographics
NPI:1134687791
Name:AGLIO, LENA MARIA (DMD)
Entity Type:Individual
Prefix:DR
First Name:LENA
Middle Name:MARIA
Last Name:AGLIO
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:LENA
Other - Middle Name:MARIA
Other - Last Name:CANTONE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:33 WEBSTER PARK RD
Mailing Address - Street 2:
Mailing Address - City:SOUTHINGTON
Mailing Address - State:CT
Mailing Address - Zip Code:06489-4147
Mailing Address - Country:US
Mailing Address - Phone:860-877-3021
Mailing Address - Fax:
Practice Address - Street 1:47 TOWN ST
Practice Address - Street 2:
Practice Address - City:NORWICH
Practice Address - State:CT
Practice Address - Zip Code:06360-2323
Practice Address - Country:US
Practice Address - Phone:860-892-7042
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-03-03
Last Update Date:2023-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT123871223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice