Richard A Micoli D.D.S.

NPI 1063542009 - Dentist - 1223G0001X

NPI Details
NPI 1063542009
Gender Male
Enumeration Date 03/07/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
6780 PITTSFORD PALMYRA RD
SUITE 2B
FAIRPORT NY, 14450-3360, US
Phone (585) 223-2888
Fax (585) 223-0009
Business Location
6780 PITTSFORD PALMYRA RD
SUITE 2B
FAIRPORT NY, 14450-3360, US
Phone (585) 223-2888
Fax (585) 223-0009
Toxanomy
Taxonomy Code 1223G0001X
License State New York
License Number 31585
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According to our database, Dr. Richard A Micoli D.D.S. NPI is 1063542009, taxonomy code is 1223G0001X and license number is 31585, license state is located at New York. Richard A Micoli D.D.S. physically located at 6780 Pittsford Palmyra Rd, Fairport NY, 14450-3360. NPI Number Richard A Micoli D.D.S. has the Individual type.

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1063542009 NPI number is provided on an as is basis without warranty of any kind. 1063542009 is maintained by the National Plan & Provider Enumeration System. The contents of Richard A Micoli D.D.S. are for informational purposes only.