Individual
DR. PASQUALE CARMEN DAMICO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
190 N PENNSYLVANIA AVE, WILKES BARRE, PA 18701-3605
(570) 970-2864
Mailing address
2981 E VINA DEL MAR BLVD, ST PETE BEACH, FL 33706-2726
(727) 504-8649
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS15607
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DS15607
DS15607
PA
Enumeration date
07/22/2013
Last updated
07/22/2013
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