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Organization

CICHETTI & DELLIGATTI ORTHODONTICS, P.C.

Active
Parent organization
CICHETTI & DELLIGATTI ORTHODONTICS PC
Organization subpart
Yes

Provider details

NPI number
Legal business name
CICHETTI & DELLIGATTI ORTHODONTICS PC
Authorized official
MRS. SUSAN FOX (INSURANCE MANAGER)
(215) 743-3700
Entity
Organization

Contact information

Practice address
6404 ROOSEVELT BLVD, PHILADELPHIA, PA 19149-2943
(215) 743-3700
(215) 743-3706
Mailing address
6404 ROOSEVELT BLVD, PHILADELPHIA, PA 19149-2943
(215) 743-3700
(215) 743-3706

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DS020222L
PA

Other

Enumeration date
05/01/2008
Last updated
06/12/2008
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