Organization
RICCOBENE & ASSOCIATES CC, DDS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL RICCOBENE (CEO)
(910) 853-6172
Entity
Organization
Contact information
Practice address
456 CHARLES H DIMMOCK PKWY STE 9, COLONIAL HEIGHTS, VA 23834-2936
(804) 520-7292
(804) 518-0237
Mailing address
PO BOX 749632, ATLANTA, GA 30374-9632
(919) 585-5205
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
08/29/2022
Last updated
08/02/2024
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