Individual
DR. JOHN MICHAEL RISTUCCIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
46 BALSAM ST, FAIRHAVEN, MA 02719-7045
(508) 999-6098
Mailing address
46 BALSAM ST, FAIRHAVEN, MA 02719-7045
(508) 999-6098
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
11590
MA
Other
Enumeration date
12/23/2006
Last updated
10/21/2015
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