Provider Demographics
NPI:1558573899
Name:WU-SCIGLIANO, LUCILLE PI-HUEI (DMD)
Entity Type:Individual
Prefix:
First Name:LUCILLE
Middle Name:PI-HUEI
Last Name:WU-SCIGLIANO
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 LEDGEBROOK DR
Mailing Address - Street 2:
Mailing Address - City:MANSFIELD CENTER
Mailing Address - State:CT
Mailing Address - Zip Code:06250-1682
Mailing Address - Country:US
Mailing Address - Phone:860-423-5437
Mailing Address - Fax:860-423-1703
Practice Address - Street 1:2 LEDGEBROOK DR
Practice Address - Street 2:
Practice Address - City:MANSFIELD CENTER
Practice Address - State:CT
Practice Address - Zip Code:06250-1682
Practice Address - Country:US
Practice Address - Phone:860-423-5437
Practice Address - Fax:860-423-1703
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-06
Last Update Date:2010-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT82611223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry