Individual
DR. HALEY CICCARELLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
3475 W CHESTER PIKE STE 220, NEWTOWN SQUARE, PA 19073-4291
(610) 717-8334
Mailing address
63 BRIDLE WAY, NEWTOWN SQUARE, PA 19073-2922
(610) 717-8334
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS042890
PA
Other
Enumeration date
08/20/2020
Last updated
08/20/2020
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