Individual
DR. MARIO ROBERTO DENICOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1451 BROOKHAVEN DR, ROCKINGHAM, VA 22801
(585) 732-0039
Mailing address
1451 BROOKHAVEN DR, ROCKINGHAM, VA 22801-3584
(585) 732-0039
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401415736
VA
Other
Enumeration date
06/12/2014
Last updated
06/06/2018
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