Provider Demographics
NPI:1184050403
Name:FLORO OHARA, CRISTINA (DMD)
Entity type:Individual
Prefix:
First Name:CRISTINA
Middle Name:
Last Name:FLORO OHARA
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:DR
Other - First Name:CRISTINA
Other - Middle Name:D
Other - Last Name:FLORO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DMD
Mailing Address - Street 1:500 N. MICHIGAN AVENUE
Mailing Address - Street 2:SUITE 830
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60611
Mailing Address - Country:US
Mailing Address - Phone:312-642-2299
Mailing Address - Fax:312-642-7121
Practice Address - Street 1:500 N. MICHIGAN AVENUE
Practice Address - Street 2:SUITE 830
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60611
Practice Address - Country:US
Practice Address - Phone:312-642-2299
Practice Address - Fax:312-642-7121
Is Sole Proprietor?:No
Enumeration Date:2013-09-18
Last Update Date:2021-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL019-024922122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist