# STIVEN MITA DMD LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Stiven Mita DMD, Mita Dental, Stiven Mita Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043096159
- **Authorized official:** DR. STIVEN MITA DMD (DENTIST/OWNER)
- **Authorized official phone:** (267) 977-4638

## Contact information

- **Practice address:** 2438 BROWN ST UNIT 1, PHILADELPHIA, PA 19130-1932
- **Practice address phone:** (215) 236-6200
- **Practice address fax:** (215) 236-2377
- **Mailing address:** 2438 BROWN ST UNIT 1, PHILADELPHIA, PA 19130-1932

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/05/2023
- **Last updated:** 05/21/2025