| Paul A Ricchetti Jr Dds Mscd Inc | |
|
5825 Landerbrook Dr Suite 221 Mayfield Heights OH 44124-6532 | |
| (440) 461-6008 | |
| (440) 461-9282 |
| Full Name | Paul A Ricchetti Jr Dds Mscd Inc |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 5825 Landerbrook Dr, Mayfield Heights, Ohio |
| Authorized Official Name and Position | Paul A Ricchetti (PRESIDENT AND SECRETARY) |
| Authorized Official Contact | 4404616008 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Paul A Ricchetti Jr Dds Mscd Inc 5825 Landerbrook Dr Suite 221 Mayfield Heights OH 44124-6532 Ph: (440) 461-6008 | Paul A Ricchetti Jr Dds Mscd Inc 5825 Landerbrook Dr Suite 221 Mayfield Heights OH 44124-6532 Ph: (440) 461-6008 |
| NPI Number | 1841596749 |
|---|---|
| Provider Enumeration Date | 02/10/2011 |
| Last Update Date | 02/10/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841596749 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | 14143 (Ohio) | Primary |
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