Matthew Kostelic, DMD
NPI #1972097251 in Clemmons, North Carolina
Provider Information
- NPI Number
- 1972097251
- Entity Type
- Individual
- Name
- Matthew Kostelic, DMD
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- DMD
- Enumeration Date
- Jun 19, 2018
- Last Updated
- Jul 7, 2021
Practice Location
- Address
- 2265 LEWISVILLE CLEMMONS RD STE A
- City
- Clemmons
- State
- North Carolina
- ZIP Code
- 27012-7459
- Phone
- (336) 577-1583
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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