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 |