Provider Demographics
NPI:1093843336
Name:GYURKO, CSILLA (DMD)
Entity type:Individual
Prefix:
First Name:CSILLA
Middle Name:
Last Name:GYURKO
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:CSILLA
Other - Middle Name:
Other - Last Name:REVAI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:60 ASH HILL RD
Mailing Address - Street 2:
Mailing Address - City:READING
Mailing Address - State:MA
Mailing Address - Zip Code:01867-3831
Mailing Address - Country:US
Mailing Address - Phone:781-942-1145
Mailing Address - Fax:
Practice Address - Street 1:725 MAIN ST
Practice Address - Street 2:
Practice Address - City:WAKEFIELD
Practice Address - State:MA
Practice Address - Zip Code:01880-5206
Practice Address - Country:US
Practice Address - Phone:781-245-6966
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-28
Last Update Date:2011-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA206411223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice