Sydnie Costello

NPI #1902596653 in Lady Lake, Florida

Provider Information

NPI Number: 1902596653
Entity Type: Individual
Name: Sydnie Costello
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Enumeration Date: May 8, 2023
Last Updated: Sep 23, 2024

Practice Location

Address: 13700 N US HIGHWAY 441
City: Lady Lake
State: Florida
ZIP Code: 32159-8980
Phone: (352) 259-0822

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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