| NPI | 1871486373 |
|---|---|
| Doing Business As | COMMONWEALTH SPECIALTY - MIDLOTHIAN PEDIATRICS |
| Entity Type | Organization |
| Authorized Contact | MICHAEL RICCOBENE CEO 910-853-6172 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2025-06-02 |
| Last Update Date | 2025-06-02 |