Individual
DR. RICHARD A GUACCIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
124 E US HIGHWAY 30, SCHERERVILLE, IN 46375-2117
(219) 865-3050
(219) 865-3431
Mailing address
124 E US HIGHWAY 30, SCHERERVILLE, IN 46375-2117
(219) 865-3050
(219) 865-3431
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12006450
IN
Other
Enumeration date
03/29/2007
Last updated
07/08/2007
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