Individual
DR. MICHAEL LEONARD PACIFICO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
48 N 3RD ST, BANGOR, PA 18013-1908
(610) 588-2722
(610) 599-1034
Mailing address
48 N 3RD ST, BANGOR, PA 18013-1908
(610) 588-2722
(610) 599-1034
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
021434
PA
Other
Enumeration date
04/25/2007
Last updated
07/08/2007
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