Individual
PAUL A RICCHETTI JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS MSCD
Contact information
Practice address
5825 LANDERBROOK DR, LANDERBROOK DENTAL PROFESSIONALS BLDG SUITE 221, MAYFIELD HEIGHTS, OH 44124-6532
(440) 461-6008
(440) 461-9282
Mailing address
5825 LANDERBROOK DR, LANDERBROOK DENTAL PROFESSIONALS SUITE 221, MAYFIELD HEIGHTS, OH 44124-6532
(440) 461-6008
(440) 461-9282
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
14143
OH
Other
Enumeration date
12/04/2006
Last updated
01/26/2009
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