| Criscione Family Dentistry, Pc | |
|
3975 Mercantile Dr #150 Lake Oswego OR 97035-3595 | |
| (503) 636-7601 | |
| (503) 636-3749 |
| Full Name | Criscione Family Dentistry, Pc |
|---|---|
| Speciality | Dentist |
| Location | 3975 Mercantile Dr, Lake Oswego, Oregon |
| Authorized Official Name and Position | Debbie E Krekos (OFFICE MANAGER) |
| Authorized Official Contact | 5036367601 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Criscione Family Dentistry, Pc Po Box 3000 Salem OR 97302-8001 Ph: (503) 636-7601 | Criscione Family Dentistry, Pc 3975 Mercantile Dr #150 Lake Oswego OR 97035-3595 Ph: (503) 636-7601 |
| NPI Number | 1811164155 |
|---|---|
| Provider Enumeration Date | 05/15/2008 |
| Last Update Date | 05/15/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811164155 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 6583 (Oregon) | Primary |
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