NPI | 1336898675 |
---|---|
Doing Business As | AIRLIE ORAL SURGERY |
Entity Type | Organization |
Authorized Contact | MICHAEL RICCOBENE Owner 919-585-5205 |
Organization Subpart ? | No |
Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
Enumeration Date | 2022-03-23 |
Last Update Date | 2023-10-20 |