Individual
DR. MARIO JAMES RICCIARDI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
8004 HAVEN AVE, SUITE 200, RANCHO CUCAMONGA, CA 91730-3047
(909) 980-6252
(909) 980-6054
Mailing address
8004 HAVEN AVE, SUITE 200, RANCHO CUCAMONGA, CA 91730-3047
(909) 980-6252
(909) 980-6054
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
29433
CA
Other
Enumeration date
04/24/2007
Last updated
07/08/2007
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