| Michael Cito Dds Llc | |
|
3900 Eubank Ne Ste 2 Albuquerque NM 87111 | |
| (505) 298-5522 | |
| (505) 291-0653 |
| Full Name | Michael Cito Dds Llc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 3900 Eubank Ne, Albuquerque, New Mexico |
| Authorized Official Name and Position | Stephen Michael Cito (OWNER/OPERATOR) |
| Authorized Official Contact | 5052985522 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Cito Dds Llc 3900 Eubank Ne Ste 2 Albuquerque NM 87111 Ph: (505) 298-5522 | Michael Cito Dds Llc 3900 Eubank Ne Ste 2 Albuquerque NM 87111 Ph: (505) 298-5522 |
| NPI Number | 1437223179 |
|---|---|
| Provider Enumeration Date | 11/17/2006 |
| Last Update Date | 01/19/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437223179 | NPI | - | NPPES |
| 000080432 | Medicaid | NM | |
| 0003121 | Other | DORAL DENTAL | |
| 95608001 | Medicaid | NM | |
| 467569 | Other | UNITED CONCORDIA | |
| 50603736 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | DD1194 (New Mexico) | Primary |
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