Joseph Costa

NPI #1235630294 in Drexel Hill, Pennsylvania

Provider Information

NPI Number: 1235630294
Entity Type: Individual
Name: Joseph Costa
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Enumeration Date: Feb 26, 2018
Last Updated: Feb 26, 2018

Practice Location

Address: 4130 BLOOMFIELD AVE
City: Drexel Hill
State: Pennsylvania
ZIP Code: 19026-3803
Phone: (610) 284-4770

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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