Individual
DR. ROCCO CICCONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
792 SOUTH LAPEAR RD., LAKE ORION, MI 48362
(248) 693-8366
(248) 693-9240
Mailing address
425 N PARK BLVD, #200, LAKE ORION, MI 48362-3189
(248) 693-8366
(248) 693-9240
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
14885
MI
Other
Enumeration date
07/25/2006
Last updated
07/31/2008
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