Individual
DR. STEPHEN PAUL CICINATO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
109 EXETER ST, MANTEO, NC 27954-9400
(252) 475-5071
(252) 473-2153
Mailing address
109 EXETER ST, MANTEO, NC 27954-9400
(252) 475-5071
(252) 473-2153
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6425
NC
1223G0001X
General Practice Dentistry
5446
VA
Other
Enumeration date
01/05/2007
Last updated
02/27/2013
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