Flor D. Loya-Costabile in Melrose Park - Pediatric Dentistry
Flor D. Loya-Costabile - NPI 1588600019
Flor D. Loya-Costabile is a Pediatric Dentistry in Melrose Park, Illinois. Flor D. Loya-Costabile practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Flor D. Loya-Costabile is 1588600019. The last update date is 2007-07-08.
Flor D. Loya-Costabile's current location address is 154 Broadway St, Melrose Park, Illinois. You can contact this provider via phone number 7083445437 and fax number 7083445437. The mailing address for Flor D. Loya-Costabile is 154 Broadway St, Melrose Park, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Flor D. Loya-Costabile |
|---|---|
| Address | 154 Broadway St, Melrose Park, Illinois |
| Phone Number | 7083445437 |
| Fax Number | 7083445437 |
| Sole Proprietor | X |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1588600019 |
|---|---|
| Provider Enumeration Date | 2006-06-22 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 154 Broadway St |
|---|---|
| City | Melrose Park |
| State | Illinois (IL) |
| Post Code | 601603718 |
| Phone Number | 7083445437 |
| Fax Number | 7083445437 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
|
Definition: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
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What is the Flor D. Loya-Costabile's unique identification number?
The Flor D. Loya-Costabile has been assigned the NPI (National Provider Identifier) Number 1588600019 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete physical address where Flor D. Loya-Costabile is located?
The Flor D. Loya-Costabile is situated at the following address: 154 Broadway St, Melrose Park, IL, 601603718.
What is the Flor D. Loya-Costabile's specialty and taxonomy code?
The Flor D. Loya-Costabile's specialty is Pediatric Dentistry, and the corresponding taxonomy code is 1223P0221X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1588600019 to Flor D. Loya-Costabile?
The Centers for Medicare & Medicaid Services originally issued the 1588600019 to Flor D. Loya-Costabile on 2006-06-22.
As of what date were the Flor D. Loya-Costabile's details last updated?
The information pertaining to the Flor D. Loya-Costabile, including its address, specialty, and other details, was most recently updated on 2007-07-08.
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