NPI | 1679237762 |
---|---|
Doing Business As | COMMONWEALTH DENTISTRY - FOREST HILL |
Entity Type | Organization |
Authorized Contact | MICHAEL RICCOBENE Owner 910-585-5205 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Additional Taxonomies | 1223E0200X Dentist, Endodontics |
122300000X Dentist | |
1223P0221X Dentist, Pediatric Dentistry | |
1223P0300X Dentist, Periodontics | |
1223P0700X Dentist, Prosthodontics | |
1223S0112X Dentist, Oral and Maxillofacial Surgery | |
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics | |
Enumeration Date | 2021-10-26 |
Last Update Date | 2023-10-19 |