Individual
MARY GRACE RIZZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
105 W 9TH ST, BERWICK, PA 18603-3024
(570) 752-4542
(570) 752-6806
Mailing address
105 W 9TH ST, BERWICK, PA 18603-3024
(570) 752-4542
(570) 752-6806
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS039950
PA
Other
Enumeration date
06/02/2014
Last updated
06/02/2014
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