Organization
RICCOBENE & ASSOCIATES XIII, DDS, P.A.
Active
Other names
Brush and Floss Specialty - Shallotte
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL RICCOBENE (CEO)
(855) 417-4226
Entity
Organization
Contact information
Practice address
301 S WILLIS DR STE 100, SHALLOTTE, NC 28470-3445
(910) 754-7700
Mailing address
PO BOX 749625, ATLANTA, GA 30374-9625
(910) 754-7700
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
06/16/2023
Last updated
06/16/2023
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