Organization
RICCOBENE & ASSOCIATES CCII, DDS, PC
Active
Other names
Commonwealth Specialty - Charlottesville
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL RICCOBENE (OWNER)
(910) 853-6172
Entity
Organization
Contact information
Practice address
1658 STATE FARM BLVD STE 103, CHARLOTTESVILLE, VA 22911-3563
(434) 202-3520
Mailing address
PO BOX 749632, ATLANTA, GA 30374-9632
(434) 202-3520
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
—
—
Other
Enumeration date
11/04/2025
Last updated
11/04/2025
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