Individual
DR. ANITA MARIE MILICI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
1 CRESCENT DR, SUITE 300, PHILADELPHIA, PA 19112-1015
(215) 389-3161
(215) 389-1036
Mailing address
1 CRESCENT DR, SUITE 300, PHILADELPHIA, PA 19112-1015
(215) 389-3161
(215) 389-1036
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
DS 027478 L
PA
1223P0300X
Periodontics
Primary
DS 027478 L
PA
1223P0700X
Prosthodontics
DS 027478 L
PA
Other
Enumeration date
04/11/2007
Last updated
03/22/2017
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