DR. Edmund J Costello, DMD
NPI #1831106541 in West Roxbury, Massachusetts
Provider Information
- NPI Number
- 1831106541
- Entity Type
- Individual
- Name
- DR. Edmund J Costello, DMD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - Orthodontics and Dentofacial Orthopedics
- Credential
- DMD
- Enumeration Date
- Aug 2, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 1698 CENTRE ST
- City
- West Roxbury
- State
- Massachusetts
- ZIP Code
- 02132-1240
- Phone
- (617) 327-9656
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics |
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