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NPI Code Detail

MEDICARE: DR. DAVID ALAN CITEK D.D.S.

MEDICARE:  DR. DAVID ALAN CITEK  D.D.S.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry13316TX

General Provider Information

NPI Number : 1962405951
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DAVID ALAN CITEK D.D.S.
Provider Business Mailing Address
First Line : 10126 THERMON ST
Second Line :
City : HOUSTON
State : TX
Zip : 77075-3412
Country : US
Telephone Number : 713-943-2506
Fax Number :
Provider Business Practice Location Address
First Line : 10126 THERMON ST
Second Line :
City : HOUSTON
State : TX
Zip : 77075-3412
Country : US
Telephone Number : 713-943-2506
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/23/2005
Last Update Date : 07/08/2007

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Directions to “ DR. DAVID ALAN CITEK D.D.S.” Practice Location

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