Organization
PAUL A RICCHETTI JR DDS MSCD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL A RICCHETTI JR. DDS (PRESIDENT AND SECRETARY)
(440) 461-6008
Entity
Organization
Contact information
Practice address
5825 LANDERBROOK DR, SUITE 221, MAYFIELD HEIGHTS, OH 44124-6532
(440) 461-6008
(440) 461-9282
Mailing address
5825 LANDERBROOK DR, 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
02/10/2011
Last updated
02/10/2011
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