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Organization
METDENT LLC
Active
Organization
METDENT LLC
Active
Other names
Tri Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES P COSTELLO DDS (MEMBER)
(352) 408-1400
Entity
Organization
Contact information
Practice address
18515 US HWY 441, MOUNT DORA, FL 32757-6703
(352) 383-5377
(352) 383-2513
Mailing address
18515 US HWY 441, MOUNT DORA, FL 32757-6703
(352) 383-5377
(352) 383-2513
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/02/2008
Last updated
04/02/2008
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