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General NPI Number Information
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NPI Number | 1437223179
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Entity Type | Organization
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Legal Business Name | MICHAEL CITO DDS LLC
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Dates
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Enumeration Date | 11/17/2006
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Last Update Date | 01/19/2023
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Provider Practice Location Address
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Address Line | 3900 EUBANK NE STE 2
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City | ALBUQUERQUE
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State | NM
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Zip | 87111
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Country | US
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Telephone | 505-298-5522
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Fax | 505-291-0653
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Provider Business Mailing Address
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Address Line | 3900 EUBANK NE STE 2
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City | ALBUQUERQUE
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State | NM
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Zip | 87111
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Country | US
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Telephone | 505-298-5522
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Fax | 505-291-0653
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Authorized Official
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Title or Position | OWNER/OPERATOR
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Name | DR. STEPHEN MICHAEL CITO JR.
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Credential | DDS
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Telephone | 505-298-5522
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | DD1194
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License Number State | NM
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