Anthony Dicostanzo DDS PC

NPI #1306227129 in Dyer, Indiana

Provider Information

NPI Number
1306227129
Entity Type
Organization
Organization Name
Anthony Dicostanzo DDS PC
Primary Specialty
Dentist - General Practice
Enumeration Date
Jun 17, 2015
Last Updated
Jun 17, 2015

Practice Location

Address
1123 JOLIET ST
City
Dyer
State
Indiana
ZIP Code
46311-1926
Phone
(219) 865-3303

Authorized Official

Name
MARTI BENNE
Title
OFFICE MANANGER
Phone
(219) 865-3303

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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