| NPI | 1144905464 |
|---|---|
| Doing Business As | BRUSH AND FLOSS SPECIALTY - PORTERS NECK |
| Entity Type | Organization |
| Authorized Contact | MICHAEL RICCOBENE CEO 855-417-4226 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2023-06-15 |
| Last Update Date | 2023-10-19 |