Individual
DR. JASON RALPH CRESCENZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
16345 HARLEM AVE STE 160, TINLEY PARK, IL 60477-2589
(708) 781-9754
(708) 781-9758
Mailing address
16345 HARLEM AVE STE 160, TINLEY PARK, IL 60477-2589
(708) 781-9754
(708) 781-9758
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019027570
IL
Other
Enumeration date
04/23/2008
Last updated
02/02/2011
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