NPI | 1841044385 |
---|---|
Doing Business As | BRUSH AND FLOSS SPECIALTY - APEX |
Entity Type | Organization |
Authorized Contact | MICHAEL RICCOBENE CEO 855-417-4226 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0300X Dentist, Periodontics |
Additional Taxonomies | 1223E0200X Dentist, Endodontics |
1223P0221X Dentist, Pediatric Dentistry | |
1223P0700X Dentist, Prosthodontics | |
1223S0112X Dentist, Oral and Maxillofacial Surgery | |
Enumeration Date | 2024-04-12 |
Last Update Date | 2024-04-12 |