| Anthony Dicostanzo, DDS, Ltd | |
|
120 Oakbrook Ctr Professional Building, Suite 604 Oak Brook IL 60523-1806 | |
| (630) 990-9009 | |
| (630) 990-9057 |
| Full Name | Anthony Dicostanzo, DDS, Ltd |
|---|---|
| Speciality | Dentist |
| Location | 120 Oakbrook Ctr, Oak Brook, Illinois |
| Authorized Official Name and Position | Anthony Dicostanzo (PRESIDENT) |
| Authorized Official Contact | 6309909009 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Anthony Dicostanzo, DDS, Ltd 120 Oakbrook Ctr Professional Building, Suite 604 Oak Brook IL 60523-1806 Ph: (630) 990-9009 | Anthony Dicostanzo, DDS, Ltd 120 Oakbrook Ctr Professional Building, Suite 604 Oak Brook IL 60523-1806 Ph: (630) 990-9009 |
| NPI Number | 1336352426 |
|---|---|
| Provider Enumeration Date | 05/07/2007 |
| Last Update Date | 09/20/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336352426 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (Illinois) | Primary |
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