Individual
DR. JOSEPH THOMAS FACCIOLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
501 W 14TH ST, WILMINGTON, DE 19801-1013
(302) 733-1042
Mailing address
501 W 14TH ST, WILMINGTON, DE 19801-1013
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
G1-0001338
DE
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/30/2013
Last updated
11/20/2023
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