DR. Anthony G Costella, D.D.S.

NPI #1144321399 in San Anselmo, California

Provider Information

NPI Number
1144321399
Entity Type
Individual
Name
DR. Anthony G Costella, D.D.S.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist
Credential
D.D.S.
Enumeration Date
Sep 26, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
1600 SIR FRANCIS DRAKE BLVD
ZIP Code
94960-1878
Phone
(415) 453-0642

Specialties & Taxonomy Codes

Specialty
Dentist

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