| NPI | 1215589148 |
|---|---|
| Doing Business As | RICCOBENE ASSOCIATES FAMILY DENTISTRY- BALLANTYNE |
| Entity Type | Organization |
| Authorized Contact | MICHAEL RICCOBENE Owner 919-853-6172 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice |
| Enumeration Date | 2019-07-11 |
| Last Update Date | 2023-11-16 |