DR. Richard A Micoli, D.D.S.

NPI #1063542009 in Fairport, New York

Provider Information

NPI Number
1063542009
Entity Type
Individual
Name
DR. Richard A Micoli, D.D.S.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Credential
D.D.S.
Enumeration Date
Mar 7, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
6780 PITTSFORD PALMYRA RD
Address 2
SUITE 2B
ZIP Code
14450-3360
Phone
(585) 223-2888

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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