| Civillico Family Dentistry | |
|
626 Burmont Rd Drexel Hill PA 19026-3827 | |
| (610) 352-6560 | |
| (484) 466-3132 |
| Full Name | Civillico Family Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 626 Burmont Rd, Drexel Hill, Pennsylvania |
| Authorized Official Name and Position | Nicholas J. Civillico (OWNER/PRACTITIONER) |
| Authorized Official Contact | 6103526560 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Civillico Family Dentistry 626 Burmont Rd Drexel Hill PA 19026-3827 Ph: (610) 352-6560 | Civillico Family Dentistry 626 Burmont Rd Drexel Hill PA 19026-3827 Ph: (610) 352-6560 |
| NPI Number | 1417118480 |
|---|---|
| Provider Enumeration Date | 06/22/2008 |
| Last Update Date | 12/14/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417118480 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DS019365L (Pennsylvania) | Primary |
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