NPI | 1780363606 |
---|---|
Doing Business As | COMMONWEALTH DENTISTRY - HUGUENOT |
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 |