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Organization
RICCIARDONE FAMILY DENTISTRY
Active
Organization
RICCIARDONE FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA RICCIARDONE DMD (OWNER)
(251) 342-6672
Entity
Organization
Contact information
Practice address
5300 OVERLOOK RD, MOBILE, AL 36618-2331
(251) 342-6672
(251) 342-6703
Mailing address
5300 OVERLOOK RD, MOBILE, AL 36618-2331
(251) 342-6672
(251) 342-6703
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
11/06/2018
Last updated
11/06/2018
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