| NPI | 1316622491 |
|---|---|
| Doing Business As | BRUSH AND FLOSS SPECIALTY - SHALLOTTE |
| Entity Type | Organization |
| Authorized Contact | MICHAEL RICCOBENE CEO 855-417-4226 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2023-06-16 |
| Last Update Date | 2023-06-16 |