Individual
DR. CARL EDWARD BACCELLIERI II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
630 COPE RD, KENNETT SQUARE, PA 19348-2438
(610) 444-0208
(610) 444-0653
Mailing address
630 COPE RD, KENNETT SQUARE, PA 19348-2438
(610) 444-0208
(610) 444-0653
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS030182L
PA
Other
Enumeration date
01/17/2012
Last updated
01/17/2012
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