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Individual

DR. WILLIAM PAUL PISCITELLI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
0401411742
VA
1223P0221X
Pediatric Dentistry
2994
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0138580000
WV
01
C06778
GROUP PTAN
VA
Enumeration date
07/25/2006
Last updated
03/18/2016
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