Organization · Type 2 NPI
Patricia Crisostomo DMD PC
General Practice Dentistry · Chicago, IL
NPI number
1235375593
Active
Practice location
1732 W Lawrence Ave
Chicago, IL 60640-4412
Fax (773) 271-7912
Mailing address
P.o. Box 408080
Chicago, IL 60640-9998
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | 019025133 (IL) |
General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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About NPI 1235375593
Patricia Crisostomo DMD PC's National Provider Identifier is 1235375593, issued on Dec 16, 2008. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Chicago, IL. The record was last updated on Nov 2, 2009.