Individual
DR. JOHN PICCOLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
522 BEAVER ST, SEWICKLEY, PA 15143-1779
(412) 741-7325
Mailing address
522 BEAVER ST, SEWICKLEY, PA 15143-1779
(412) 741-7325
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS023026L
PA
Other
Enumeration date
12/07/2010
Last updated
12/07/2010
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