Provider Demographics
NPI:1821163502
Name:CRISTINA D FLORO DMD PC
Entity Type:Organization
Organization Name:CRISTINA D FLORO DMD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:CRISTINA
Authorized Official - Middle Name:DIMAANO
Authorized Official - Last Name:FLORO
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:312-642-2299
Mailing Address - Street 1:500 N MICHIGAN AVE
Mailing Address - Street 2:SUITE 830
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60611-3777
Mailing Address - Country:US
Mailing Address - Phone:312-642-2299
Mailing Address - Fax:312-642-7121
Practice Address - Street 1:500 N MICHIGAN AVE
Practice Address - Street 2:SUITE 830
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60611-3777
Practice Address - Country:US
Practice Address - Phone:312-642-2299
Practice Address - Fax:312-642-7121
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-21
Last Update Date:2013-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL019024922122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty