# RICCOBENE & ASSOCIATES LII, DDS, P.A.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Riccobene Associates Family Dentistry - Huntersville
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609517713
- **Authorized official:** ANNETTE MARLOW (CREDENTIALING MANAGER)
- **Authorized official phone:** (330) 687-5944

## Contact information

- **Practice address:** 407 GILEAD RD STE 350, HUNTERSVILLE, NC 28078-6899
- **Practice address phone:** (919) 289-1857
- **Mailing address:** 407 GILEAD RD STE 350, HUNTERSVILLE, NC 28078-6899
- **Mailing address phone:** (919) 289-1857

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 04/05/2022
- **Last updated:** 04/05/2022
