Organization
BACCELLIERI FAMILY DENTISTRY LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARL EDWARD BACCELLIERI SR. DMD (PARTNER)
(610) 444-0208
Entity
Organization
Contact information
Practice address
630 COPE RD, BARTON CENTER SUITE A, KENNETT SQUARE, PA 19348
(610) 444-0208
(610) 444-0653
Mailing address
630 COPE RD, BARTON CENTER SUITE A, KENNETT SQUARE, PA 19348
(610) 444-0208
(610) 444-0653
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS018102L
PA
122300000X
Dentist
DS030182L
PA
Other
Enumeration date
09/16/2006
Last updated
08/22/2020
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