| Laura J Rizzo Dmd Pc | |
|
549 Main St Coalport PA 16627-8401 | |
| (814) 672-4313 | |
| Not Available |
| Full Name | Laura J Rizzo Dmd Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 549 Main St, Coalport, Pennsylvania |
| Authorized Official Name and Position | Laura Jane Rizzo (OWNER) |
| Authorized Official Contact | 8146724313 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Laura J Rizzo Dmd Pc Po Box 374 Coalport PA 16627-0374 Ph: (814) 672-4313 | Laura J Rizzo Dmd Pc 549 Main St Coalport PA 16627-8401 Ph: (814) 672-4313 |
| NPI Number | 1912426834 |
|---|---|
| Provider Enumeration Date | 09/12/2017 |
| Last Update Date | 09/12/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912426834 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 029015L (Pennsylvania) | Primary |