Individual
DR. JOSEPH A ILACQUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2603 DEKALB PIKE, NORRISTOWN, PA 19401
(610) 275-0500
(610) 275-1054
Mailing address
2603 DEKALB PIKE, NORRISTOWN, PA 19401
(610) 275-0500
(610) 275-1054
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
DS022706L
PA
Other
Enumeration date
07/16/2006
Last updated
07/01/2010
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