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Organization
RICCOBENE & ASSOCIATES XIII, DDS, P.A.
Active
Organization
RICCOBENE & ASSOCIATES XIII, DDS, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL RICCOBENE (CEO)
(910) 853-6172
Entity
Organization
Contact information
Practice address
5021 SOUTHPORT CROSSINGS WAY STE 310, SOUTHPORT, NC 28461
(910) 375-9579
Mailing address
PO BOX 749625, ATLANTA, GA 30374-9625
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
—
Other
Enumeration date
09/03/2026
Last updated
09/03/2026
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