John M Facciolo D.m.d., P.a. | |
1304 N Broom St Wilmington DE 19806 | |
(302) 652-2451 | |
Not Available |
Full Name | John M Facciolo D.m.d., P.a. |
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Speciality | Dentist - General Practice |
Location | 1304 N Broom St, Wilmington, Delaware |
Authorized Official Name and Position | John Facciolo (OWNER / DENTIST) |
Authorized Official Contact | 3026522451 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
John M Facciolo D.m.d., P.a. 1304 N Broom St Wilmington DE 19806-4266 Ph: (302) 652-2451 | John M Facciolo D.m.d., P.a. 1304 N Broom St Wilmington DE 19806 Ph: (302) 652-2451 |
NPI Number | 1326825282 |
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Provider Enumeration Date | 09/13/2023 |
Last Update Date | 09/13/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1326825282 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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