Organization
MICHAEL CITO DDS LLC
Active
Parent organization
MICHAEL CITO DDS, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
MICHAEL CITO DDS, LLC
Authorized official
DR. STEPHEN MICHAEL CITO JR. DDS (OWNER/OPERATOR)
(505) 298-5522
Entity
Organization
Contact information
Practice address
3900 EUBANK NE, STE 2, ALBUQUERQUE, NM 87111
(505) 298-5522
(505) 291-0653
Mailing address
3900 EUBANK NE, STE 2, ALBUQUERQUE, NM 87111
(505) 298-5522
(505) 291-0653
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DD1194
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000080432
—
NM
01
—
0003121
DORAL DENTAL
—
01
—
467569
UNITED CONCORDIA
—
05
—
50603736
—
NM
05
—
95608001
—
NM
Enumeration date
11/17/2006
Last updated
01/19/2023
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