DR. Caitlyn Addie Menicucci, DMD

NPI #1386290260 in Jbsa Ft Sam Houston, Texas

Provider Information

NPI Number: 1386290260
Entity Type: Individual
Name: DR. Caitlyn Addie Menicucci, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DMD
Enumeration Date: Aug 15, 2019
Last Updated: Jun 4, 2024

Practice Location

Address: 3551 ROGER BROOKE DR
City: Jbsa Ft Sam Houston
State: Texas
ZIP Code: 78234-4504
Phone: (210) 916-5586

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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