DR. Michael Ted Kostal, D.D.S.

NPI #1245594050 in Greeley, Colorado

Provider Information

NPI Number
1245594050
Entity Type
Individual
Name
DR. Michael Ted Kostal, D.D.S.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist
Credential
D.D.S.
Enumeration Date
Jun 26, 2012
Last Updated
Jun 26, 2012

Practice Location

Address
6632 W 10TH ST STE 101
ZIP Code
80634-9734
Phone
(970) 353-4848

Specialties & Taxonomy Codes

Specialty
Dentist

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