DR. Ron Micchia

NPI #1497177646 in Mentor, Ohio

Provider Information

NPI Number: 1497177646
Entity Type: Individual
Name: DR. Ron Micchia
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Enumeration Date: Jan 7, 2014
Last Updated: Jan 7, 2014

Practice Location

Address: 9140 LAKESHORE BLVD
City: Mentor
State: Ohio
ZIP Code: 44060
Phone: (440) 257-3900

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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