Craig Kostrubala DDS LLC

NPI #1548651110 in Alsip, Illinois

Provider Information

NPI Number: 1548651110
Entity Type: Organization
Organization Name: Craig Kostrubala DDS LLC
Primary Specialty: Dentist
Enumeration Date: Feb 18, 2015
Last Updated: Feb 18, 2015

Practice Location

Address: 11107 S LAWLER AVE
City: Alsip
State: Illinois
ZIP Code: 60803-6038
Phone: (708) 346-9600

Authorized Official

Name: CRAIG KOSTRUBALA, DDS
Title: OWNER
Phone: (708) 346-9600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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