Individual
MICHAEL R RICUPITO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, MS
Contact information
Practice address
3880 BLACKHAWK RD, DANVILLE, CA 94506-4676
(925) 736-9900
(510) 797-6531
Mailing address
3880 BLACKHAWK RD, DANVILLE, CA 94506-4676
(925) 736-9900
(510) 797-6531
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
31849
CA
Other
Enumeration date
04/28/2009
Last updated
04/28/2009
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