NPI | 1265195523 |
---|---|
Doing Business As | RICCOBENE ASSOCIATES FAMILY DENTISTRY - LELAND |
Entity Type | Organization |
Authorized Contact | MICHAEL RICCOBENE Owner 910-853-6172 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2021-10-14 |
Last Update Date | 2023-10-19 |