Individual
LAURA J RIZZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
549 MAIN STREET, COALPORT, PA 16627
(814) 672-4313
(814) 672-4313
Mailing address
PO BOX 374, 549 MAIN STREET, COALPORT, PA 16627
(814) 672-4313
(814) 672-4313
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS029015L
PA
Other
Enumeration date
08/04/2006
Last updated
07/08/2007
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