Joseph James Ceravolo, D.D.S. Valid NPI

Individual provider · Periodontics · Wellington, FL

NPI

1013092170

Type

Individual (Type 1)

Primary specialty

Periodontics (Dentist)

Specialty group

Dental Providers

Taxonomy code

1223P0300X

License number

DN10720 (FL)

Sex

Male

Sole proprietor

No

Enumerated

2006-10-26

Last updated

2007-07-08