Organization
CRISCIONE FAMILY DENTISTRY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBBIE E KREKOS (OFFICE MANAGER)
(503) 636-7601
Entity
Organization
Contact information
Practice address
3975 MERCANTILE DR, #150, LAKE OSWEGO, OR 97035-3595
(503) 636-7601
(503) 636-3749
Mailing address
PO BOX 3000, SALEM, OR 97302-8001
(503) 636-7601
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6583
OR
Other
Enumeration date
05/15/2008
Last updated
05/15/2008
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