Mitchel Costa, D.D.S.

NPI #1245617448 in Fairport, New York

Provider Information

NPI Number: 1245617448
Entity Type: Individual
Name: Mitchel Costa, D.D.S.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: D.D.S.
Enumeration Date: Apr 27, 2015
Last Updated: Oct 23, 2023

Practice Location

Address: 2828 BAIRD RD
City: Fairport
State: New York
ZIP Code: 14450-1247
Phone: (585) 383-0840

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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