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1861892242
RICHARD MANCUSO
TAMPA, FL
NPI
1861892242
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: FL DN 20889)
Enumeration Date
2014-09-04
Last Update Date
2016-10-24
Business Address
Dr. RICHARD MANCUSO D.M.D.
4536 W VILLAGE DR
TAMPA, FL 33624-3429
Phone number: 813-961-2200
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Mailing Address
Dr. RICHARD MANCUSO D.M.D.
4536 W VILLAGE DR
TAMPA, FL 33624-3429
Phone number: 813-961-2200
Copy
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