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Organization
RICCOBENE & ASSOCIATES XXXII, DDS, PA
Active
Organization
RICCOBENE & ASSOCIATES XXXII, DDS, PA
Active
Other names
Riccobene Associates Family Dentistry - Garner 70
Organization subpart
No
Provider details
NPI number
Authorized official
JARED HECKER (CREDENTIALING COORDINATOR)
(919) 238-6833
Entity
Organization
Contact information
Practice address
801 US 70 HWY W # 101, GARNER, NC 27529-2541
(919) 661-4077
Mailing address
801 US 70 HWY W # 101, GARNER, NC 27529-2541
(919) 661-4077
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
NULL
122300000X
Dentist
—
—
1223E0200X
Endodontics
—
NULL
1223E0200X
Endodontics
—
—
1223G0001X
General Practice Dentistry
Primary
—
NULL
1223G0001X
General Practice Dentistry
Primary
—
—
1223P0221X
Pediatric Dentistry
—
NULL
1223P0221X
Pediatric Dentistry
—
—
1223P0300X
Periodontics
—
NULL
1223P0300X
Periodontics
—
—
1223P0700X
Prosthodontics
—
NULL
1223P0700X
Prosthodontics
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
NULL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
NULL
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
Other
Enumeration date
07/08/2019
Last updated
07/08/2019
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