Costa & Dageenakis Family Dentistry Pllc

NPI #1376647743 in Port Orchard, Washington

Provider Information

NPI Number: 1376647743
Entity Type: Organization
Organization Name: Costa & Dageenakis Family Dentistry Pllc
Primary Specialty: Dentist
Enumeration Date: Sep 7, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 1565 WOODRIDGE DR SE
Address 2: STE A
City: Port Orchard
State: Washington
ZIP Code: 98366
Phone: (360) 876-0550

Authorized Official

Name: MRS. MICHELLE D RICHARDSON
Title: TREATMENT COORDINATOR
Phone: (360) 876-0550

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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