Da Costa, Bruno Cristalli

Da Costa, Bruno Cristalli is an individual health care provider with primary practice located at 2250 Nw Flanders St 112, Portland OR 97210-3443. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Da Costa, Bruno Cristalli can be contacted via phone (503) 248-1970.

Contact Information

Primary practice address
2250 Nw Flanders St 112 Portland OR 97210-3443
Phone: (503) 248-1970
Fax: (503) 248-6811
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 8550 Oregon

Profile Details

NPI number 1275532384
LBN Legal business name Da Costa, Bruno Cristalli
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2005
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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