Individual
DR. EVAN CAUTERUCCI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1700 S LINCOLN AVE, LEBANON, PA 17042-7529
(717) 272-6621
Mailing address
4055 RIDGE AVE APT 2606, PHILADELPHIA, PA 19129-1581
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS042708
PA
Other
Enumeration date
07/01/2020
Last updated
07/01/2020
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