Criscione Family Dentistry, PC
NPI #1811164155 in Lake Oswego, Oregon
Provider Information
- NPI Number
- 1811164155
- Entity Type
- Organization
- Organization Name
- Criscione Family Dentistry, PC
- Primary Specialty
- Dentist
- Enumeration Date
- May 15, 2008
- Last Updated
- May 15, 2008
Practice Location
- Address
- 3975 MERCANTILE DR
- Address 2
- #150
- City
- Lake Oswego
- State
- Oregon
- ZIP Code
- 97035-3595
- Phone
- (503) 636-7601
Authorized Official
- Name
- DEBBIE E KREKOS
- Title
- OFFICE MANAGER
- Phone
- (503) 636-7601
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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