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Organization

GIFFORDS DENTAL, P.C.

Active
Other names
Giffords Dental, P.C.
Organization subpart
No

Provider details

NPI number
Authorized official
DR. STEVEN CISTERNAS DDS (PRESIDENT)
(917) 414-4993
Entity
Organization

Contact information

Practice address
79 GIFFORDS LN, STATEN ISLAND, NY 10308-2411
(718) 984-4404
Mailing address
PO BOX 90081, STATEN ISLAND, NY 10309-0081
(917) 414-4993

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
052816
NY
1223G0001X
General Practice Dentistry
Primary
059157
NY
1223P0300X
Periodontics
029974
NY
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
049017
NY

Other

Enumeration date
08/21/2018
Last updated
08/21/2018
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