Provider Demographics
NPI:1760722201
Name:RALPH GIULIANO
Entity Type:Organization
Organization Name:RALPH GIULIANO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE ADMIN
Authorized Official - Prefix:MISS
Authorized Official - First Name:SARA
Authorized Official - Middle Name:A
Authorized Official - Last Name:WASYLEAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:203-744-5941
Mailing Address - Street 1:120 CLAPBOARD RIDGE RD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:DANBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06811-3625
Mailing Address - Country:US
Mailing Address - Phone:203-744-5941
Mailing Address - Fax:203-797-0865
Practice Address - Street 1:120 CLAPBOARD RIDGE RD
Practice Address - Street 2:SUITE 101
Practice Address - City:DANBURY
Practice Address - State:CT
Practice Address - Zip Code:06811-3625
Practice Address - Country:US
Practice Address - Phone:203-744-5941
Practice Address - Fax:203-797-0865
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-20
Last Update Date:2013-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT52401223D0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223D0001XDental ProvidersDentistDental Public HealthGroup - Single Specialty