| NPI | 1205615341 |
|---|---|
| Doing Business As | BRUSH AND FLOSS NORTH MYRTLE BEACH |
| Entity Type | Organization |
| Authorized Contact | MICHAEL RICCOBENE CEO 855-417-4226 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2023-09-27 |
| Last Update Date | 2023-11-29 |