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2505 Silverside Rd Wilmington DE 19810-3707 | |
(302) 475-6900 | |
(302) 475-8582 |
Full Name | |
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Speciality | Dentist - General Practice |
Location | 2505 Silverside Rd, Wilmington, Delaware |
Authorized Official Name and Position | Daniel W Fink (OWNER) |
Authorized Official Contact | 3024756900 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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2505 Silverside Rd Wilmington DE 19810-3707 Ph: (302) 475-6900 | 2505 Silverside Rd Wilmington DE 19810-3707 Ph: (302) 475-6900 |
NPI Number | 1316070980 |
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Provider Enumeration Date | 03/13/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1316070980 | NPI | - | NPPES |
184882 | Other | DE | UNITED CONCORDIA |
1000023196 | Medicaid | DE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 1034 (Delaware) | Primary |
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Connie F. Cicorelli, D.d.s., P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1401 Silverside Rd, Wilmington, DE 19810 Phone: 302-798-5797 Fax: 302-798-9232 | |
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