DR. Lora Riccolo

NPI #1912289745 in Winfield, Illinois

Provider Information

NPI Number: 1912289745
Entity Type: Individual
Name: DR. Lora Riccolo
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Enumeration Date: Sep 19, 2011
Last Updated: Sep 19, 2011

Practice Location

Address: 1N121 COUNTY FARM RD
Address 2: SUITE 130
City: Winfield
State: Illinois
ZIP Code: 60190-2019
Phone: (630) 653-7700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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