Individual
ANGELO CACCIATORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D12091
OR
1223G0001X
General Practice Dentistry
37501
TX
1223P0221X
Pediatric Dentistry
Primary
112746
CA
Other
Enumeration date
07/26/2021
Last updated
04/14/2026
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