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1134209513
MARK RICHARD MINICHELLI
ERIE, PA
NPI
1134209513
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: PA DS027249L)
Enumeration Date
2006-10-17
Last Update Date
2007-07-08
Business Address
Dr. MARK RICHARD MINICHELLI D.M.D.
2606 CAUGHEY RD
ERIE, PA 16506-2148
Phone number: 814-833-4393
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Mailing Address
Dr. MARK RICHARD MINICHELLI D.M.D.
2606 CAUGHEY RD
ERIE, PA 16506-2148
Phone number: 814-833-4393
Copy
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