Bruno Da Costa Ddd,ms,pc

NPI #1780851105 in Tigard, Oregon

Provider Information

NPI Number: 1780851105
Entity Type: Organization
Organization Name: Bruno Da Costa Ddd,ms,pc
Primary Specialty: Dentist - General Practice
Enumeration Date: May 14, 2008
Last Updated: May 14, 2008

Practice Location

Address: 11995 SW PACIFIC HWY
City: Tigard
State: Oregon
ZIP Code: 97223-6474
Phone: (503) 639-6900

Authorized Official

Name: DR. BRUNO CRISTALLI DA COSTA, DDS, MS
Title: OWNER/PRESIDENT
Phone: (503) 639-6900

Specialties & Taxonomy Codes

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

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