Staten Island Dentistry P.c.
NPI #1174025894 in Staten Island, New York
Provider Information
- NPI Number
- 1174025894
- Entity Type
- Organization
- Organization Name
- Staten Island Dentistry P.c.
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Mar 8, 2018
- Last Updated
- Mar 8, 2018
Practice Location
- Address
- 979 WILLOWBROOK RD.
- City
- Staten Island
- State
- New York
- ZIP Code
- 10314
- Phone
- (718) 698-1885
Authorized Official
- Name
- MR. FRANK DICICCO, DMD
- Title
- OWNER
- Phone
- (718) 698-1885
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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