Ciacco, Samuel

Ciacco, Samuel is an individual health care provider with primary practice located at 23400 Michigan Ave Ste 112, Dearborn MI 48124-1924. He recently has only one registered license in Dental Providers / Endodontics, which is considered as his primary health care specialty. Ciacco, Samuel can be contacted via phone (313) 565-9118.

Contact Information

Primary practice address
23400 Michigan Ave Ste 112 Dearborn MI 48124-1924
Phone: (313) 565-9118
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Endodontics 1223E0200X 10546 Michigan

Profile Details

NPI number 1609903335
LBN Legal business name Ciacco, Samuel
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 28th, 2007
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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