| NPI | 1609248251 |
|---|---|
| Doing Business As | BRUSH AND FLOSS SPECIALTY- KNIGHTDALE |
| Entity Type | Organization |
| Authorized Contact | MICHAEL RICCOBENE Owner 910-853-6172 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics |
| Enumeration Date | 2015-10-22 |
| Last Update Date | 2023-10-19 |