Carl Edward Baccellieri, D.M.D. Valid NPI
Individual provider · Dentist · Kennett Square, PA
- NPI
- 1396016747
- Type
- Individual (Type 1)
- Primary specialty
- Dentist
- Specialty group
- Dental Providers
- Taxonomy code
- 122300000X
- License number
- DS030182L (PA)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2012-01-17
- Last updated
- 2012-01-17
Practice location
630 Cope Rd
Kennett Square, PA 19348-2438
(610) 444-0208