Individual
THOMAS P SOLLECITO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
250 KING OF PRUSSIA RD, ORAL & MAXILLOFACIAL SURGERY, RADNOR, PA 19087-5235
(610) 902-2100
Mailing address
250 KING OF PRUSSIA RD, ORAL & MAXILLOFACIAL SURGERY, RADNOR, PA 19087-5235
(610) 902-2100
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
DS026915L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001477030001
—
PA
Enumeration date
06/22/2006
Last updated
09/02/2015
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