Provider Demographics
NPI:1528578689
Name:CRISTINA OLIVIERA & ANABELA CARDO
Entity Type:Organization
Organization Name:CRISTINA OLIVIERA & ANABELA CARDO
Other - Org Name:OLIVEIRA & CARDO DENTAL
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CRISTINA
Authorized Official - Middle Name:
Authorized Official - Last Name:OLIVEIRA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:914-422-3711
Mailing Address - Street 1:111 N CENTRAL AVE STE 220
Mailing Address - Street 2:
Mailing Address - City:HARTSDALE
Mailing Address - State:NY
Mailing Address - Zip Code:10530-1945
Mailing Address - Country:US
Mailing Address - Phone:914-422-3711
Mailing Address - Fax:
Practice Address - Street 1:111 NO CENTRAL AVENUE
Practice Address - Street 2:SUITE 220
Practice Address - City:HARTSDALE
Practice Address - State:NY
Practice Address - Zip Code:10530
Practice Address - Country:US
Practice Address - Phone:914-422-3711
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-03
Last Update Date:2017-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty