Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 122300000X | Dentist | DS041790 | PA |
NPI | 1003302142 |
---|---|
Provider Name | Dr. Daniel Frederick Ciabattoni |
First Address | Reading, PA 19610-2807 |
Second Address | Sinking Spring, PA 19608-8609 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/07/2018 |
Last Update Date | 02/07/2018 |