Anthony Dicostanzo, Dds, Ltd

NPI #1336352426 in Oak Brook, Illinois

Provider Information

NPI Number: 1336352426
Entity Type: Organization
Organization Name: Anthony Dicostanzo, Dds, Ltd
Primary Specialty: Dentist
Enumeration Date: May 7, 2007
Last Updated: Sep 20, 2007

Practice Location

Address: 120 OAKBROOK CTR
Address 2: PROFESSIONAL BUILDING, SUITE 604
City: Oak Brook
State: Illinois
ZIP Code: 60523-1806
Phone: (630) 990-9009

Authorized Official

Name: DR. ANTHONY DICOSTANZO, D.D.S.
Title: PRESIDENT
Phone: (630) 990-9009

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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