NPI | 1821153586 |
---|---|
Former Legal Business Name | JOHN M RISTUCCIA, DDS AND ASSOCIATES, PC |
Entity Type | Organization |
Authorized Contact | JOHN MICHAEL RISTUCCIA President 978-686-4187 |
Organization Subpart ? | No |
Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: MA 11590) |
Enumeration Date | 2006-12-23 |
Last Update Date | 2020-08-22 |