Organization
RICCOBENE & ASSOCIATES CC, DDS, PC
Active
Other names
Commonwealth Dentistry - Chester
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL RICCOBENE (CEO)
(910) 853-6172
Entity
Organization
Contact information
Practice address
2930 W HUNDRED RD, CHESTER, VA 23831-2126
(804) 621-7631
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
11/16/2022
Last updated
08/02/2024
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