Individual
AVIANA NICOLE DUCA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
909 WALNUT ST RM 300, PHILADELPHIA, PA 19107-5211
(215) 503-7118
Mailing address
224 1ST AVE, HADDON HEIGHTS, NJ 08035-1402
(856) 685-8892
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
232809585
PA
Other
Enumeration date
06/23/2021
Last updated
06/23/2021
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