Individual
DR. PATRICIA A PICCILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
190 MUNSONHURST RD, FRANKLIN, NJ 07416-1814
(973) 827-3976
(973) 209-4518
Mailing address
165 STATE LINE RD, WESTTOWN, NY 10998-4106
(845) 726-3806
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
15803
NJ
Other
Enumeration date
08/03/2005
Last updated
03/02/2017
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