Provider Demographics
NPI:1538493499
Name:PESCATORE, CHRISTOPHER (DMD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:
Last Name:PESCATORE
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:903 SAN RAMON VALLEY BLVD
Mailing Address - Street 2:SUITE 226
Mailing Address - City:DANVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:94526-4046
Mailing Address - Country:US
Mailing Address - Phone:925-362-9330
Mailing Address - Fax:925-362-8789
Practice Address - Street 1:903 SAN RAMON VALLEY BLVD
Practice Address - Street 2:SUITE 226
Practice Address - City:DANVILLE
Practice Address - State:CA
Practice Address - Zip Code:94526-4046
Practice Address - Country:US
Practice Address - Phone:925-362-9330
Practice Address - Fax:925-362-8789
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-24
Last Update Date:2009-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA44758122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist