Provider Demographics
NPI:1164785051
Name:CRISTESCU, ALEXANDRA D (DDS)
Entity Type:Individual
Prefix:DR
First Name:ALEXANDRA
Middle Name:D
Last Name:CRISTESCU
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 1:4327 LAKE WASHINGTON BLVD NE
Mailing Address - Street 2:#6110
Mailing Address - City:KIRKLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98033-7886
Mailing Address - Country:US
Mailing Address - Phone:425-269-7298
Mailing Address - Fax:
Practice Address - Street 1:4327 LAKE WASHINGTON BLVD NE
Practice Address - Street 2:#6110
Practice Address - City:KIRKLAND
Practice Address - State:WA
Practice Address - Zip Code:98033-7886
Practice Address - Country:US
Practice Address - Phone:425-269-7298
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-06-17
Last Update Date:2012-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADENT.DE.602944261223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice