| NPI | 1023616596 |
|---|---|
| Doing Business As | RICCOBENE ASSOCIATES FAMILY DENTISTRY- SOUTHPORT |
| Entity Type | Organization |
| Authorized Contact | MICHAEL RICCOBENE Owner 919-853-6172 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2020-10-15 |
| Last Update Date | 2023-11-16 |