Organization
FACCIOLO ORTHODONTICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH FACCIOLO (PRESIDENT)
(302) 593-4457
Entity
Organization
Contact information
Practice address
4500 LINDEN HILL RD UNIT 308, WILMINGTON, DE 19808-3072
(302) 593-4457
Mailing address
4500 LINDEN HILL RD UNIT 308, WILMINGTON, DE 19808-3072
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
09/13/2024
Last updated
09/13/2024
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