Dicicco Dental Studio, Pc | |
677 Commerce St Ste 100 Thornwood NY 10594-1060 | |
(914) 741-1296 | |
Not Available |
Full Name | Dicicco Dental Studio, Pc |
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Speciality | Clinic/center - Dental |
Location | 677 Commerce St Ste 100, Thornwood, New York |
Authorized Official Name and Position | Alesandra Hope Dicicco (DENTIST) |
Authorized Official Contact | 9147411296 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Dicicco Dental Studio, Pc 677 Commerce St Ste 100 Thornwood NY 10594-1060 Ph: (914) 741-1296 | Dicicco Dental Studio, Pc 677 Commerce St Ste 100 Thornwood NY 10594-1060 Ph: (914) 741-1296 |
NPI Number | 1861974255 |
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Provider Enumeration Date | 08/31/2018 |
Last Update Date | 08/31/2018 |
Identifier | Type | State | Issuer |
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1861974255 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | 059856 (New York) | Primary |
Dental Center Management Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 12 Marble Ave, Thornwood, NY 10594 Phone: 914-773-1500 |