Individual
DIANE PICCIONI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3112 N MAIN ST, ANDERSON, SC 29621-2763
(864) 716-2118
(864) 225-3906
Mailing address
111 E 210TH ST, BRONX, NY 10467-2401
(718) 920-4321
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
9182
SC
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
974
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/24/2015
Last updated
04/11/2025
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