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
—
—
Other
Enumeration date
03/08/2018
Last updated
03/08/2018
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