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1700128410
BRYAN JAMES MICUCCI
PITTSBURGH, PA
NPI
1700128410
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: PA DSO28123-L)
Enumeration Date
2013-03-20
Last Update Date
2013-03-20
Business Address
Dr. BRYAN JAMES MICUCCI DMD
704 LINCOLN AVE
PITTSBURGH, PA 15202-3407
Phone number: 412-761-0202
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Mailing Address
Dr. BRYAN JAMES MICUCCI DMD
704 LINCOLN AVE
PITTSBURGH, PA 15202-3407
Phone number: 412-761-0202
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