Individual
DR. ALFRED MICHAEL CILETTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
44655 COUNTY ROAD 48, SOUTHOLD, NY 11971-5019
(631) 765-1262
(631) 765-1461
Mailing address
PO BOX 312, SOUTHOLD, NY 11971-0312
(631) 765-1262
(631) 765-1461
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
035117
NY
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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