Dr. Peter Anthony Dichristofano Jr., DDS
Dentist in Norridge, IL. Individual provider (NPI-1).
NPI number1295933141
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1295933141
- Entity type
- Individual (NPI-1)
- Name
- Dr. Peter Anthony Dichristofano Jr.
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 3, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 019017490 | IL | Yes |
Practice location
7615 W Montrose AveNorridge, IL 60706-1045
Phone 708-453-0777 · Fax 708-453-4970
Mailing address
7615 W Montrose AveNorridge, IL 60706-1045
Phone 708-453-0777 · Fax 708-453-4970
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