| 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 |