Organization
RICCOBENE & ASSOCIATES LIII, DDS, PA
Active
Other names
Airlie Oral Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL RICCOBENE (OWNER)
(919) 585-5205
Entity
Organization
Contact information
Practice address
2001 S BAXTER DR, LELAND, NC 28451-0139
(910) 769-1605
Mailing address
2001 S BAXTER DR, LELAND, NC 28451-0139
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
03/23/2022
Last updated
10/20/2023
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