Organization
RICCOBENE & ASSOCIATES XIII, DDS, P.A.
Active
Other names
Brush and Floss Specialty - University
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL RICCOBENE (CEO)
(855) 417-4226
Entity
Organization
Contact information
Practice address
8320 UNIVERSITY EXEC PARK DR STE A, CHARLOTTE, NC 28262-1338
(704) 248-8327
Mailing address
PO BOX 749625, ATLANTA, GA 30374-9625
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
—
—
1223P0221X
Pediatric Dentistry
—
—
1223P0300X
Periodontics
—
—
1223P0700X
Prosthodontics
Primary
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
Other
Enumeration date
04/08/2024
Last updated
04/08/2024
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