Provider Demographics
NPI:1083814354
Name:SPILOTRO GARGIULO, KRISTINE A (DDS)
Entity Type:Individual
Prefix:DR
First Name:KRISTINE
Middle Name:A
Last Name:SPILOTRO GARGIULO
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2604 E DEMPSTER ST
Mailing Address - Street 2:LANDINGS PROFESSIONAL CENTER SUITE 202
Mailing Address - City:PARK RIDGE
Mailing Address - State:IL
Mailing Address - Zip Code:60068
Mailing Address - Country:US
Mailing Address - Phone:847-299-0557
Mailing Address - Fax:847-299-0561
Practice Address - Street 1:2604 E DEMPSTER ST
Practice Address - Street 2:LANDINGS PROFESSIONAL CENTER SUITE 202
Practice Address - City:PARK RIDGE
Practice Address - State:IL
Practice Address - Zip Code:60068
Practice Address - Country:US
Practice Address - Phone:847-299-0557
Practice Address - Fax:847-299-0561
Is Sole Proprietor?:No
Enumeration Date:2007-07-24
Last Update Date:2007-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice