Organization
CICCHINI DENTAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MELISSA CICCHINI (OFFICE MANAGER)
(724) 684-4020
Entity
Organization
Contact information
Practice address
15 EASTGATE, MONESSEN, PA 15062-1387
(724) 684-4020
(724) 684-6406
Mailing address
PO BOX 762, BELLE VERNON, PA 15012-0762
(724) 684-4020
(724) 684-6406
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS026381L
PA
Other
Enumeration date
03/07/2007
Last updated
12/11/2007
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