DR. Michael L Costello, DDS

NPI #1073527222 in South Milwaukee, Wisconsin

Provider Information

NPI Number: 1073527222
Entity Type: Individual
Name: DR. Michael L Costello, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Jul 27, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 1333 COLLEGE AVE
Address 2: SUITE C
City: South Milwaukee
State: Wisconsin
ZIP Code: 53172-1150
Phone: (414) 764-6070

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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Organizations

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