Organization
KRISTAL A. IZYDORCZYK, D.M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KRISTAL A. IZYDORZYK DMD (DENTIST)
(412) 531-2329
Entity
Organization
Contact information
Practice address
1632 BROADWAY AVE, PITTSBURGH, PA 15216-3247
(412) 531-2329
(412) 531-8511
Mailing address
1632 BROADWAY AVE, PITTSBURGH, PA 15216-3247
(412) 531-2329
(412) 531-8511
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS036551
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1765873
UNITED CONCORDIA
PA
Enumeration date
05/22/2007
Last updated
08/22/2020
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