Provider Demographics
NPI:1033700760
Name:CHRISTOPHER J CATALANO DDS INC
Entity Type:Organization
Organization Name:CHRISTOPHER J CATALANO DDS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:J
Authorized Official - Last Name:CATALANO
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:415-456-9193
Mailing Address - Street 1:810 COLLEGE AVE STE 12
Mailing Address - Street 2:
Mailing Address - City:KENTFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:94904-2532
Mailing Address - Country:US
Mailing Address - Phone:415-456-9193
Mailing Address - Fax:415-456-5514
Practice Address - Street 1:810 COLLEGE AVE STE 12
Practice Address - Street 2:
Practice Address - City:KENTFIELD
Practice Address - State:CA
Practice Address - Zip Code:94904-2532
Practice Address - Country:US
Practice Address - Phone:415-456-9193
Practice Address - Fax:415-456-5514
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-26
Last Update Date:2021-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental