Organization
CITIBRITES SURGICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TERRANCE STRADFORD DDS ABOI (NMM)
(718) 727-0274
Entity
Organization
Contact information
Practice address
131 ARNOLD ST FL 2, STATEN ISLAND, NY 10301-2236
(718) 727-0274
Mailing address
131 ARNOLD ST FL 2, STATEN ISLAND, NY 10301-2236
(718) 727-0274
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
040944
NY
Other
Enumeration date
05/08/2017
Last updated
05/08/2017
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