Oak Grove Dental
NPI #1225338593 in Oak Grove, Louisiana
Provider Information
- NPI Number
- 1225338593
- Entity Type
- Organization
- Organization Name
- Oak Grove Dental
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Nov 2, 2010
- Last Updated
- Nov 2, 2010
Practice Location
Authorized Official
- Name
- DR. ROBERT VANCE COSTELLO, DDS
- Title
- CO OWNER
- Phone
- (318) 428-4255
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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