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1215035084
JOHN DAVID RIDELLA
JOHNSTOWN, PA
NPI
1215035084
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: PA 026351)
Additional Taxonomies
122300000X Dentist
(Licence: PA BR1727215)
Enumeration Date
2006-09-20
Last Update Date
2007-07-08
Business Address
-- JOHN DAVID RIDELLA DMD
901 MENOHER BLVD
JOHNSTOWN, PA 15905
Phone number: 814-536-5646
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Mailing Address
-- JOHN DAVID RIDELLA DMD
901 MENOHER BLVD
JOHNSTOWN, PA 15905
Phone number: 814-536-5646
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