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Individual

DR. DERRICK RIZZIELLO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
949 N 14TH ST, LEESBURG, FL 34748-3838
(352) 460-0164
Mailing address
949 N 14TH ST, LEESBURG, FL 34748-3838
(352) 460-0164

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN 20541
FL

Other

Enumeration date
04/25/2014
Last updated
01/02/2015
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