# KRISTAL A. IZYDORCZYK, D.M.D., P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669682597
- **Authorized official:** DR. KRISTAL A. IZYDORZYK DMD (DENTIST)
- **Authorized official phone:** (412) 531-2329

## Contact information

- **Practice address:** 1632 BROADWAY AVE, PITTSBURGH, PA 15216-3247
- **Practice address phone:** (412) 531-2329
- **Practice address fax:** (412) 531-8511
- **Mailing address:** 1632 BROADWAY AVE, PITTSBURGH, PA 15216-3247
- **Mailing address phone:** (412) 531-2329
- **Mailing address fax:** (412) 531-8511

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | DS036551 | PA | Yes |

## Other

- **Enumeration date:** 05/22/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1765873 | UNITED CONCORDIA | PA |