Provider Demographics
NPI:1952456865
Name:RITOLI, ELENA-LEE (DMD, MDS)
Entity Type:Individual
Prefix:DR
First Name:ELENA-LEE
Middle Name:
Last Name:RITOLI
Suffix:
Gender:F
Credentials:DMD, MDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:36 BRACE RD
Mailing Address - Street 2:
Mailing Address - City:WEST HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06107-1803
Mailing Address - Country:US
Mailing Address - Phone:860-561-5358
Mailing Address - Fax:860-521-6635
Practice Address - Street 1:36 BRACE RD
Practice Address - Street 2:
Practice Address - City:WEST HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06107-1803
Practice Address - Country:US
Practice Address - Phone:860-561-5358
Practice Address - Fax:860-521-6635
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0081361223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics