Organization
CITIBRITES DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSHUA SANDERS (NON MEMBER MANAGER)
(201) 304-4137
Entity
Organization
Contact information
Practice address
131 ARNOLD ST, STATEN ISLAND, NY 10301-2236
(718) 714-8747
Mailing address
131 ARNOLD ST, STATEN ISLAND, NY 10301-2236
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
040944
NY
Other
Enumeration date
04/25/2017
Last updated
04/25/2017
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