NPI | 1457104861 |
---|---|
Doing Business As | BRUSH AND FLOSS SPECIALTY - KANNAPOLIS |
Entity Type | Organization |
Authorized Contact | MICHAEL RICCOBENE CEO 855-417-4226 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0700X Dentist, Prosthodontics |
Additional Taxonomies | 1223E0200X Dentist, Endodontics |
1223P0221X Dentist, Pediatric Dentistry | |
1223P0300X Dentist, Periodontics | |
1223S0112X Dentist, Oral and Maxillofacial Surgery | |
Enumeration Date | 2024-04-08 |
Last Update Date | 2024-04-08 |