John Patrick Costello, D.M.D.

NPI #1346698420 in Salem, Massachusetts

Provider Information

NPI Number: 1346698420
Entity Type: Individual
Name: John Patrick Costello, D.M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: D.M.D.
Enumeration Date: May 30, 2016
Last Updated: May 30, 2016

Practice Location

Address: 129 HIGHLAND AVE
City: Salem
State: Massachusetts
ZIP Code: 01970-2774
Phone: (978) 744-7575

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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