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Organization
VICTOR J. COSTANZA
Active
Organization
VICTOR J. COSTANZA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTOR J COSTANZA (OWNER)
(707) 545-7575
Entity
Organization
Contact information
Practice address
4655 HOEN AVE, SANTA ROSA, CA 95405-7800
(707) 545-7575
(707) 545-7575
Mailing address
4655 HOEN AVE, SANTA ROSA, CA 95405-7800
(707) 545-7575
(707) 545-7575
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
39780
CA
Other
Enumeration date
01/18/2007
Last updated
06/08/2015
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