NICHOLAS JOHN CIVILLICO

DREXEL HILL, PA
NPI1073774048
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist General Practice
(Licence: PA  DS019365L)
Enumeration Date2008-06-22
Last Update Date2018-09-26
Business Address
DR. NICHOLAS JOHN CIVILLICO DDS
626 BURMOND RD.
DREXEL HILL, PA 19026
Phone number: 610-352-6560
Mailing Address
DR. NICHOLAS JOHN CIVILLICO DDS
626 BURMOND RD.
DREXEL HILL, PA 19026
Phone number: 610-352-6560
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