| Citibrites Dental Hylan Llc | |
|
4076 Hylan Blvd Staten Island NY 10308-3337 | |
| (718) 966-6200 | |
| Not Available |
| Full Name | Citibrites Dental Hylan Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4076 Hylan Blvd, Staten Island, New York |
| Authorized Official Name and Position | Terrance Stradford (OWNER) |
| Authorized Official Contact | 7328503543 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Citibrites Dental Hylan Llc 4076 Hylan Blvd Staten Island NY 10308-3337 Ph: (718) 966-6200 | Citibrites Dental Hylan Llc 4076 Hylan Blvd Staten Island NY 10308-3337 Ph: (718) 966-6200 |
| NPI Number | 1235754060 |
|---|---|
| Provider Enumeration Date | 06/08/2020 |
| Last Update Date | 06/08/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235754060 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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