Individual
DR. NICHOLAS RIZZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
300 LACKAWANNA AVE UNIT 107, SCRANTON, PA 18503-2001
(570) 343-4472
Mailing address
5 MARION CIR, OLYPHANT, PA 18447-2227
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS042311
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/05/2019
Last updated
07/08/2019
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