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Individual
DR. BASILIOS C COSTARAS
Active
Individual
DR. BASILIOS C COSTARAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
019.027553
IL
1223G0001X
General Practice Dentistry
Primary
18574
OH
1223G0001X
General Practice Dentistry
D008677
AZ
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
D008677
AZ
1223X2210X
Orofacial Pain Dentistry
D008677
AZ
Other
Enumeration date
09/11/2009
Last updated
03/03/2026
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