NPI | 1245600931 |
---|---|
Doing Business As | BRUSH AND FLOSS ORTHODONTICS - CLAYTON |
Entity Type | Organization |
Authorized Contact | MICHAEL RICCOBENE Owner 910-853-6172 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics |
Enumeration Date | 2015-10-07 |
Last Update Date | 2024-07-16 |