| NPI | 1790242345 |
|---|---|
| Doing Business As | BRUSH AND FLOSS SPECIALTY- CLAYTON |
| Entity Type | Organization |
| Authorized Contact | MICHAEL RICCOBENE Owner 855-417-4226 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics |
| Additional Taxonomies | 1223P0700X Dentist, Prosthodontics |
| 1223E0200X Dentist, Endodontics | |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery | |
| 1223G0001X Dentist, General Practice | |
| Enumeration Date | 2019-03-01 |
| Last Update Date | 2023-11-20 |