DR. Kenneth S Costa, DMD

NPI #1790887941 in Dunellen, New Jersey

Provider Information

NPI Number: 1790887941
Entity Type: Individual
Name: DR. Kenneth S Costa, DMD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DMD
Enumeration Date: Sep 1, 2006
Last Updated: Sep 23, 2009

Practice Location

Address: 220 N WASHINGTON AVE
City: Dunellen
State: New Jersey
ZIP Code: 08812-1246
Phone: (732) 968-1115

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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