NPI | 1750060679 |
---|---|
Doing Business As | COMMONWEALTH DENTISTRY - CHESAPEAKE |
Entity Type | Organization |
Authorized Contact | MICHAEL RICCOBENE CEO 910-853-6172 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2023-07-17 |
Last Update Date | 2024-08-02 |