John Michael Ristuccia D.D.S.

NPI 1023173788 - Dentist - 1223S0112X

NPI Details
NPI 1023173788
Gender Male
Enumeration Date 12/23/2006
Last Updated 10/21/2015
Entity Type Individual
Active Over 10 years ago
Practice Location
46 BALSAM ST
FAIRHAVEN MA, 02719-7045, US
Phone (508) 999-6098
Fax
Business Location
46 BALSAM ST
FAIRHAVEN MA, 02719-7045, US
Phone (508) 999-6098
Fax (978) 686-0941
Toxanomy
Taxonomy Code 1223S0112X
License State Massachusetts
License Number 11590
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According to our database, Dr. John Michael Ristuccia D.D.S. NPI is 1023173788, taxonomy code is 1223S0112X and license number is 11590, license state is located at Massachusetts. John Michael Ristuccia D.D.S. physically located at 46 Balsam St, Fairhaven MA, 02719-7045. NPI Number John Michael Ristuccia D.D.S. has the Individual type.

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1023173788 NPI number is provided on an as is basis without warranty of any kind. 1023173788 is maintained by the National Plan & Provider Enumeration System. The contents of John Michael Ristuccia D.D.S. are for informational purposes only.