NPI | 1346711322 |
---|---|
Doing Business As | BRUSH AND FLOSS PEDIATRIC DENTISTRY - SELMA |
Entity Type | Organization |
Authorized Contact | MICHAEL RICCOBENE Owner 910-853-6172 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
Enumeration Date | 2018-12-17 |
Last Update Date | 2023-10-19 |