Organization
ANTHONY DICOSTANZO, DDS, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTHONY DICOSTANZO D.D.S. (PRESIDENT)
(630) 990-9009
Entity
Organization
Contact information
Practice address
120 OAKBROOK CTR, PROFESSIONAL BUILDING, SUITE 604, OAK BROOK, IL 60523-1806
(630) 990-9009
(630) 990-9057
Mailing address
120 OAKBROOK CTR, PROFESSIONAL BUILDING, SUITE 604, OAK BROOK, IL 60523-1806
(630) 990-9009
(630) 990-9057
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
IL
Other
Enumeration date
05/07/2007
Last updated
09/20/2007
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