Kostelic & Associates, Pllc
NPI #1154187920 in Clemmons, North Carolina
Provider Information
- NPI Number
- 1154187920
- Entity Type
- Organization
- Organization Name
- Kostelic & Associates, Pllc
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Feb 28, 2024
- Last Updated
- Mar 5, 2024
Practice Location
- Address
- 2265 LEWISVILLE CLEMMONS RD STE A
- City
- Clemmons
- State
- North Carolina
- ZIP Code
- 27012-7459
- Phone
- (336) 577-1583
Authorized Official
- Name
- MATTHEW KOSTELIC, DMD
- Title
- OWNER/MANAGER
- Phone
- (336) 577-1583
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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