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Organization
STATEN ISLAND DENTISTRY P.C.
Active
Organization
STATEN ISLAND DENTISTRY P.C.
Active
Other names
Staten Island Dentistry P.C.
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FRANK DICICCO DMD (OWNER)
(718) 698-1885
Entity
Organization
Contact information
Practice address
979 WILLOWBROOK RD., STATEN ISLAND, NY 10314
(718) 698-1885
Mailing address
979 WILLOWBROOK RD, STATEN ISLAND, NY 10314-6520
(718) 698-1885
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
NULL
Other
Enumeration date
03/08/2018
Last updated
03/08/2018
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