Judy Costanza

NPI #1962886291 in Pueblo, Colorado

Provider Information

NPI Number: 1962886291
Entity Type: Individual
Name: Judy Costanza
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dental Hygienist
Enumeration Date: Jul 16, 2015
Last Updated: Aug 18, 2015

Practice Location

Address: 900 W ORMAN AVE
City: Pueblo
State: Colorado
ZIP Code: 81004-1430
Phone: (719) 549-3270

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X	Primary

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