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Individual

RICHARD RIZZO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
370 E SOUTH TEMPLE, SUITE 350, SALT LAKE CITY, UT 84111-1206
(501) 320-9810
Mailing address
370 E SOUTH TEMPLE, SUITE 350, SALT LAKE CITY, UT 84111-1206
(501) 320-9810

Taxonomy

Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
138804-9922
UT

Other

Enumeration date
12/13/2006
Last updated
07/08/2007
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