JOHN FACCIOLO

WILMINGTON, DE
NPI1922635606
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: DE  G1-0011491)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2020-03-24
Last Update Date2024-05-08
Business Address
JOHN FACCIOLO DMD
1304 N BROOM ST
WILMINGTON, DE 19806-4266
Phone number: 302-652-2451
Mailing Address
JOHN FACCIOLO DMD
504 THORNDALE DR
HOCKESSIN, DE 19707-2332
Phone number: 302-584-6088