| NPI | 1346929262 |
|---|---|
| Doing Business As | COMMONWEALTH DENTISTRY - CROZET |
| Entity Type | Organization |
| Authorized Contact | MICHAEL RICCOBENE CEO 855-417-4226 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2023-07-17 |
| Last Update Date | 2023-07-17 |