RICHARD MANCUSO

TAMPA, FL
NPI1861892242
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: FL  DN 20889)
Enumeration Date2014-09-04
Last Update Date2016-10-24
Business Address
Dr. RICHARD MANCUSO D.M.D.
4536 W VILLAGE DR
TAMPA, FL 33624-3429
Phone number: 813-961-2200
Mailing Address
Dr. RICHARD MANCUSO D.M.D.
4536 W VILLAGE DR
TAMPA, FL 33624-3429
Phone number: 813-961-2200