| NPI | 1235008509 |
|---|---|
| Doing Business As | COMMONWEALTH SPECIALTY - CHARLOTTESVILLE |
| Entity Type | Organization |
| Authorized Contact | MICHAEL RICCOBENE Owner 910-853-6172 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics |
| Enumeration Date | 2025-11-04 |
| Last Update Date | 2025-11-04 |