DR. Kevin Hugh Costley, DDS

NPI #1649346297 in Sartell, Minnesota

Provider Information

NPI Number: 1649346297
Entity Type: Individual
Name: DR. Kevin Hugh Costley, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Nov 27, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 101 7TH STREET NORTH
City: Sartell
State: Minnesota
ZIP Code: 56377
Phone: (320) 253-8241

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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