| NPI | 1174025894 |
|---|---|
| Doing Business As | STATEN ISLAND DENTISTRY P.C. |
| Entity Type | Organization |
| Authorized Contact | FRANK DICICCO Owner 718-698-1885 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2018-03-08 |
| Last Update Date | 2018-03-08 |