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Organization
MICHAEL R. RICUPITO, DDS, MS, INC.
Active
Organization
MICHAEL R. RICUPITO, DDS, MS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL R RICUPITO DDS, MS (PRESIDENT)
(510) 797-6500
Entity
Organization
Contact information
Practice address
39572 STEVENSON PL, SUITE 230, FREMONT, CA 94539-3075
(510) 797-6500
Mailing address
39572 STEVENSON PL, SUITE 230, FREMONT, CA 94539-3075
(510) 797-6500
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
31849
CA
Other
Enumeration date
07/24/2007
Last updated
07/24/2007
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