| NPI | 1396370946 |
|---|---|
| Doing Business As | JOHN RITACCA, DDS LLC |
| Entity Type | Organization |
| Authorized Contact | JOHN HENRY RITACCA Owner/Provider 208-626-5617 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2020-03-04 |
| Last Update Date | 2020-03-04 |