Individual
DR. ANTHONY DAVID DICELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
167 NORTH MAIN STREET, TUBA CITY, AZ 86045
(202) 270-0441
Mailing address
167 NORTH MAIN STREET, TUBA CITY, AZ 86004
(202) 270-0441
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
14485
MD
Other
Enumeration date
06/02/2009
Last updated
06/17/2011
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