Individual
DR. ROBERT CICCHINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1801B EARL L CORE RD, MORGANTOWN, WV 26505-5893
(304) 292-4412
Mailing address
164 DONNA AVE, MORGANTOWN, WV 26505-2884
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4522
WV
Other
Enumeration date
06/14/2021
Last updated
06/14/2021
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