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General NPI Number Information
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NPI Number | 1750432746
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Entity Type | Organization
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Legal Business Name | SHARON G. CITRON, DMD, INC.
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Dates
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Enumeration Date | 01/16/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 5010 MAYFIELD RD SUITE 101
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City | LYNDHURST
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State | OH
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Zip | 44124-2695
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Country | US
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Telephone | 216-382-5007
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Fax | 216-382-5009
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Provider Business Mailing Address
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Address Line | 5010 MAYFIELD RD SUITE 101
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City | LYNDHURST
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State | OH
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Zip | 44124-2695
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Country | US
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Telephone | 216-382-5007
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Fax | 216-382-5009
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SHARON G CITRON
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Credential | D.M.D.
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Telephone | 216-382-5007
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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 | 17055
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License Number State | OH
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