Cosmet Enterprize LLC

NPI #1568666576 in Clermont, Florida

Provider Information

NPI Number: 1568666576
Entity Type: Organization
Organization Name: Cosmet Enterprize LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Jun 13, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 12344 ROPER BLVD
City: Clermont
State: Florida
ZIP Code: 34771-4300
Phone: (352) 242-1763

Authorized Official

Name: DR. JAMES P COSTELLO, DDS
Title: PRESIDENT
Phone: (352) 408-1400

Specialties & Taxonomy Codes

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

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