Individual
DR. MARK ANTHONY RICARD I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
170 JAMISON LN, MONROEVILLE, PA 15146-2327
(412) 823-0123
Mailing address
170 JAMISON LN, MONROEVILLE, PA 15146-2327
(412) 823-0123
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
015486-L
PA
Other
Enumeration date
12/16/2010
Last updated
12/16/2010
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