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Organization
MADISON DENTISTRY, P.C.
Active
Organization
MADISON DENTISTRY, P.C.
Active
Other names
Madison Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
FRANK DICICCO DMD (OWNER)
(212) 753-7400
Entity
Organization
Contact information
Practice address
424 MADISON AVE FL 15, NEW YORK, NY 10017-1158
(212) 753-7400
Mailing address
424 MADISON AVE FL 15, NEW YORK, NY 10017-1158
(212) 753-7400
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
1223P0300X
Periodontics
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
Other
Enumeration date
08/23/2017
Last updated
07/21/2022
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