Organization
RICCOBENE & ASSOCIATES XV, DDS, P.A.
Active
Other names
Brush and Floss Orthodontics- Cary
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE JOHNSON (EXECUTIVE COORDINATOR)
(919) 975-0626
Entity
Organization
Contact information
Practice address
1203 NORTHWEST MAYNARD ROAD, CARY, NC 27513
(919) 466-0909
Mailing address
1203 NORTHWEST MAYNARD ROAD, CARY, NC 27513
(919) 466-0909
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
10/19/2015
Last updated
10/19/2015
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