Organization
RICCIARDI DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIO JAMES RICCIARDI DMD (OWNER)
(909) 980-6252
Entity
Organization
Contact information
Practice address
8004 HAVEN AVE, SUITE 200, RANCHO CUCAMONGA, CA 91730
(909) 980-6252
(909) 980-6054
Mailing address
8004 HAVEN AVE, SUITE 200, RANCHO CUCAMONGA, CA 91730
(909) 816-9815
(909) 980-6054
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
09/17/2021
Last updated
09/21/2021
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