Provider Demographics
NPI:1588977516
Name:OLAROV, CRISTINA TEODORA (DDS)
Entity type:Individual
Prefix:
First Name:CRISTINA
Middle Name:TEODORA
Last Name:OLAROV
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1105 N WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60563-2766
Mailing Address - Country:US
Mailing Address - Phone:630-995-3769
Mailing Address - Fax:
Practice Address - Street 1:1105 N WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60563-2766
Practice Address - Country:US
Practice Address - Phone:630-995-3769
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-07-19
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL019.028424122300000X
IL021.0025871223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics
No122300000XDental ProvidersDentist