| NPI | 1982389060 |
|---|---|
| Doing Business As | BRUSH AND FLOSS SPECIALTY - MONKEY JUNCTION |
| Entity Type | Organization |
| Authorized Contact | MICHAEL RICCOBENE CEO 910-853-6172 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2023-06-16 |
| Last Update Date | 2023-10-19 |