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Organization

3 STONE DENTAL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. ANGELINA SANTA MARIA (BUSINESS/FINANCE MANAGER)
(315) 214-0004
Entity
Organization

Contact information

Practice address
5663 E CIRCLE DR, SUITE 600, CICERO, NY 13039-8907
(315) 214-0004
(315) 214-0005
Mailing address
5663 E CIRCLE DR, SUITE 600, CICERO, NY 13039-8907
(315) 214-0004
(315) 214-0005

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
051925-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
051925-1
EDUCATION DEPARTMENT, OFFICE OF THE PROFESSIONS
NY
Enumeration date
04/20/2011
Last updated
04/20/2011
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