Organization
RICCOBENE & ASSOCIATES CC, DDS, PC
Active
Other names
Commonwealth Dentistry - Palmyra
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL RICCOBENE (OWNER)
(910) 853-6172
Entity
Organization
Contact information
Practice address
40 JOSHUA LN, PALMYRA, VA 22963-6208
(434) 589-5327
Mailing address
PO BOX 749632, ATLANTA, GA 30374-9632
(919) 585-5205
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/21/2021
Last updated
08/02/2024
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