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Organization

RICCOBENE ASSOCIATES XXVII, DDS, P.A.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL RICCOBENE DDS (OWNER)
(919) 550-5251
Entity
Organization

Contact information

Practice address
4400 FALLS OF NEUSE RD STE 202, RALEIGH, NC 27609-2507
(919) 872-1000
(866) 402-8476
Mailing address
4400 FALLS OF NEUSE RD STE 202, RALEIGH, NC 27609-2507
(919) 872-1000
(866) 402-8476

Taxonomy

Speciality
Code
Description
License number
State
1223E0200X
Endodontics
1223P0106X
Oral and Maxillofacial Pathology Dentistry
1223P0221X
Pediatric Dentistry
Primary
1223P0300X
Periodontics
1223P0700X
Prosthodontics
1223S0112X
Oral and Maxillofacial Surgery (Dentist)

Other

Enumeration date
12/17/2018
Last updated
12/31/2019
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