Individual
MICHAEL J RICCIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1 N MAIN ST, IPSWICH, MA 01938-2217
(978) 500-3486
Mailing address
1 N MAIN ST, IPSWICH, MA 01938-2217
(978) 356-4127
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN15392
MA
Other
Enumeration date
07/10/2020
Last updated
09/11/2020
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