Individual
DR. ARIELLE CIERRA STATHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
4422 3RD AVE, BRONX, NY 10457-2545
(718) 960-9000
Mailing address
14813 ATHEY RD, BURTONSVILLE, MD 20866-1601
(240) 593-3593
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0000000000
CA
Other
Enumeration date
04/27/2020
Last updated
04/27/2020
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