DR. Charles Richard Costello II
NPI #1457392680 in Greensburg, Pennsylvania
Provider Information
- NPI Number
- 1457392680
- Entity Type
- Individual
- Name
- DR. Charles Richard Costello II
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jun 9, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 514 PELLIS RD
- Address 2
- SUITE 100
- City
- Greensburg
- State
- Pennsylvania
- ZIP Code
- 15601-4506
- Phone
- (724) 832-7200
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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