Individual
GRACE ELIZABETH D'EGIDIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
240 S 40TH ST, PHILADELPHIA, PA 19104-6030
(973) 945-7158
Mailing address
18 E SPRINGFIELD ST UNIT 18-3, BOSTON, MA 02118-3339
(973) 945-7158
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
PA
Other
Enumeration date
05/15/2026
Last updated
05/15/2026
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