| Kristal A. Izydorczyk, D.m.d., P.c. | |
|
1632 Broadway Ave Pittsburgh PA 15216-3247 | |
| (412) 531-2329 | |
| (412) 531-8511 |
| Full Name | Kristal A. Izydorczyk, D.m.d., P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1632 Broadway Ave, Pittsburgh, Pennsylvania |
| Authorized Official Name and Position | Kristal A. Izydorzyk (DENTIST) |
| Authorized Official Contact | 4125312329 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kristal A. Izydorczyk, D.m.d., P.c. 1632 Broadway Ave Pittsburgh PA 15216-3247 Ph: (412) 531-2329 | Kristal A. Izydorczyk, D.m.d., P.c. 1632 Broadway Ave Pittsburgh PA 15216-3247 Ph: (412) 531-2329 |
| NPI Number | 1669682597 |
|---|---|
| Provider Enumeration Date | 05/22/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669682597 | NPI | - | NPPES |
| 1765873 | Other | PA | UNITED CONCORDIA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DS036551 (Pennsylvania) | Primary |
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