Michael J Criscione D.M.D

NPI 1497971824 - Dentist - 1223G0001X

NPI Details
NPI 1497971824
Gender Male
Enumeration Date 04/17/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
3975 MERCANTILE DR STE 150
LAKE OSWEGO OR, 97035-2569, US
Phone (503) 636-7601
Fax
Business Location
3975 MERCANTILE DR STE 150
LAKE OSWEGO OR, 97035-2569, US
Phone (503) 636-7601
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State Oregon
License Number D6583
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According to our database, Dr. Michael J Criscione D.M.D NPI is 1497971824, taxonomy code is 1223G0001X and license number is D6583, license state is located at Oregon. Michael J Criscione D.M.D physically located at 3975 Mercantile Dr Ste 150, Lake Oswego OR, 97035-2569. NPI Number Michael J Criscione D.M.D has the Individual type.

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1497971824 NPI number is provided on an as is basis without warranty of any kind. 1497971824 is maintained by the National Plan & Provider Enumeration System. The contents of Michael J Criscione D.M.D are for informational purposes only.