Individual
DR. ANTHONY CARL IACOBUCCI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
6789 RIDGE RD, SUITE 306, PARMA, OH 44129-5649
(440) 845-6420
Mailing address
6789 RIDGE RD, SUITE 306, PARMA, OH 44129-5649
(440) 845-6420
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12885
OH
Other
Enumeration date
02/25/2007
Last updated
07/08/2007
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