RICHARD MANCUSO DMD PLLC

TAMPA, FL
NPI1720531528
Entity TypeOrganization
Authorized ContactRICHARD MANCUSO
Manager
954-605-0865
Organization Subpart ?No
Primary Taxonomy122300000X Dentist
(Licence: FL  DN20889)
Enumeration Date2016-07-27
Last Update Date2016-07-27
Business Address
RICHARD MANCUSO DMD PLLC
4536 W VILLAGE DR
TAMPA, FL 33624-3429
Phone number: 954-605-0865
Mailing Address
RICHARD MANCUSO DMD PLLC
222 NW 48TH AVE
DEERFIELD BEACH, FL 33442-9308
Phone number: