NPI | 1215646500 |
---|---|
Doing Business As | RICCOBENE ASSOCIATES FAMILY DENTISTRY - UNIVERSITY |
Entity Type | Organization |
Authorized Contact | MICHAEL RICCOBENE Owner 855-417-4226 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2022-11-16 |
Last Update Date | 2023-12-05 |