Individual
DR. DANIEL JOHN TUCCILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
4 PRINCESS RD, BUILDING 200 SUITE 203, LAWRENCEVILLE, NJ 08648-2322
(609) 912-1222
(609) 912-1337
Mailing address
4 PRINCESS RD, BUILDING 200 SUITE 203, LAWRENCEVILLE, NJ 08648-2322
(609) 912-1222
(609) 912-1337
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DI17137
NJ
Other
Enumeration date
02/15/2007
Last updated
07/08/2007
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