Individual
DR. MARIO CZONSTKOWSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D., M.D.S.
Contact information
Practice address
410 S CRAIG ST, SUITE 101, PITTSBURGH, PA 15213-3709
(412) 681-2991
(412) 681-2664
Mailing address
410 S CRAIG ST, SUITE 101, PITTSBURGH, PA 15213-3709
(412) 681-2991
(412) 681-2664
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
DSO26059-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DSO26059-L
ENDODONTICS
PA
Enumeration date
08/12/2006
Last updated
07/08/2007
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