Organization
RICHARD D FIORUCCI DDS LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD D FIORUCCI DDS ORAL SURGEON (ORAL MAXILLOFACIAL SURGEON)
(703) 768-1188
Entity
Organization
Contact information
Practice address
1451 BELLE HAVEN RD, ALEXANDRIA, VA 22307-1201
(703) 768-1188
Mailing address
1451 BELLE HAVEN RD, SUITE 310, ALEXANDRIA, VA 22307
(703) 768-1188
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
VA4085
VA
Other
Enumeration date
11/30/2006
Last updated
11/26/2007
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