DR. Michael Louis Costa, DMD

NPI #1043480551 in Staten Island, New York

Provider Information

NPI Number
1043480551
Entity Type
Individual
Name
DR. Michael Louis Costa, DMD
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist
Credential
DMD
Enumeration Date
Mar 11, 2008
Last Updated
Aug 16, 2011

Practice Location

Address
62 HART BLVD
ZIP Code
10301-2613
Phone
(718) 442-3982

Specialties & Taxonomy Codes

Specialty
Dentist

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