Organization
LAURA J RIZZO DMD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA JANE RIZZO DMD (OWNER)
(814) 672-4313
Entity
Organization
Contact information
Practice address
549 MAIN ST, COALPORT, PA 16627-8401
(814) 672-4313
Mailing address
PO BOX 374, COALPORT, PA 16627-0374
(814) 672-4313
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
029015L
PA
Other
Enumeration date
09/12/2017
Last updated
09/12/2017
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