Most Relevant Information
Provider Data
| NPI Number: | 1003039686 |
| Provider Name: | JUSTINE S GASIOR DDS |
| Entity Type: | Individual |
| Taxonomy Code: | 1223G0001X |
| Specialty: | Dentist |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/11/2007 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
6820 S PULASKI RD
CHICAGO
IL
60629
Practice Location Phone/Fax
| Phone: | 7735814627 |
| Fax: | 7735813155 |
Provider Mailing Location
6820 S PULASKI RD
CHICAGO
IL
60629
Provider Mailing Phone/Fax
| Phone: | 7735814627 |
| Fax: | 7735813155 |