Civillico Family Dentistry

NPI #1417118480 in Drexel Hill, Pennsylvania

Provider Information

NPI Number
1417118480
Entity Type
Organization
Organization Name
Civillico Family Dentistry
Primary Specialty
Dentist - General Practice
Enumeration Date
Jun 22, 2008
Last Updated
Dec 14, 2016

Practice Location

Address
626 BURMONT RD
ZIP Code
19026-3827
Phone
(610) 352-6560

Authorized Official

Name
DR. NICHOLAS J. CIVILLICO, D.D.S.
Title
OWNER/PRACTITIONER
Phone
(610) 352-6560

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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