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General NPI Number Information
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NPI Number | 1265247076
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Entity Type | Organization
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Legal Business Name | RICHMOND HILL DENTAL DESIGN STUDIO PC
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Dates
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Enumeration Date | 02/10/2025
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Last Update Date | 02/10/2025
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Provider Practice Location Address
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Address Line | 211 RICHMOND HILL RD
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City | STATEN ISLAND
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State | NY
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Zip | 10314-5907
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Country | US
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Telephone | 718-698-3384
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Fax |
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Provider Business Mailing Address
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Address Line | 211 RICHMOND HILL RD
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City | STATEN ISLAND
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State | NY
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Zip | 10314-5907
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. STEVEN CISTERNAS
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Credential |
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Telephone | 718-698-3384
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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