Organization
RICCOBENE & ASSOCIATES I, DDS, P.A.
Active
Other names
Riccobene Associates Family Dentistry- Southport
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL RICCOBENE (OWNER)
(919) 853-6172
Entity
Organization
Contact information
Practice address
2831 MIDWAY RD SE STE 116, BOLIVIA, NC 28422-8377
(910) 408-4436
Mailing address
PO BOX 749625, ATLANTA, GA 30374-9625
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/15/2020
Last updated
11/16/2023
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