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Richard C Squillaro D.d.s., Pc
Periodontist in Philadelphia, Pennsylvania
NPI 1932323235

Richard C Squillaro D.d.s., Pc is a Periodontist based in Maple Glen, PA and is specialized in Periodontics. Richard C Squillaro D.d.s., Pc practices in Philadelphia, PA. The NPI Number for Richard C Squillaro D.d.s., Pc is 1932323235 and holds a License No. DS017459L (Pennsylvania).

The current practice location address for Richard C Squillaro D.d.s., Pc is 2546 S Broad St, Philadelphia, PA and can be reached out via phone at 215-463-6677 and via fax at 215-463-1077.

Location: 2546 S Broad St, Philadelphia, PA, 19002-3312
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1932323235
Provider Name
Richard C Squillaro D.d.s., Pc
Credential
Provider Entity Type
Organization
Address
2546 S Broad St, Philadelphia, PA, 19002-3312
Phone Number
215-463-6677
Fax Number
215-463-1077
Provider Enumeration Date
04/11/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2546 S Broad St
City
Philadelphia
State
Pennsylvania
Zip
19145-4638
Phone Number
215-463-6677
Fax Number
215-463-1077
person
Provider Business Mailing Address Details
Address
2546 S Broad St
City
Philadelphia
State
Pennsylvania
Zip
19145-4638
Phone Number
215-463-6677
Fax Number
215-463-1077
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Periodontics
Taxonomy
1223P0300X
License No.
DS017459L (Pennsylvania)
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
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