Individual
DR. ANTONINO CRIVELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD, MS, FRCD(C)
Contact information
Practice address
747 LOCUST ST, SUITE 200, PASADENA, CA 91101-4455
(626) 796-5361
(626) 796-3857
Mailing address
747 LOCUST ST, SUITE 200, PASADENA, CA 91101-4455
(626) 796-5361
(626) 796-3857
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
59815
CA
Other
Enumeration date
12/15/2010
Last updated
12/15/2010
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