Provider Demographics
NPI:1992014716
Name:CONTOS, MARIA SINIS (DMD)
Entity Type:Individual
Prefix:DR
First Name:MARIA
Middle Name:SINIS
Last Name:CONTOS
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:DR
Other - First Name:MARIA
Other - Middle Name:
Other - Last Name:SINIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DMD
Mailing Address - Street 1:6428 N CALIFORNIA AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60645-5209
Mailing Address - Country:US
Mailing Address - Phone:773-973-0531
Mailing Address - Fax:773-262-9850
Practice Address - Street 1:6428 N CALIFORNIA AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60645-5209
Practice Address - Country:US
Practice Address - Phone:773-973-0531
Practice Address - Fax:773-262-9850
Is Sole Proprietor?:No
Enumeration Date:2010-09-28
Last Update Date:2016-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL019028502122300000X
FLS520540826110122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist