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Organization
DILLON COSTANTINO DENTAL PARTNERSHIP
Active
Organization
DILLON COSTANTINO DENTAL PARTNERSHIP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LINDSAY COSTANTINO DDS (OWNER/PARTNER)
(310) 475-0617
Entity
Organization
Contact information
Practice address
10505 W PICO BLVD, LOS ANGELES, CA 90064-2319
(310) 475-0617
Mailing address
10505 W PICO BLVD, LOS ANGELES, CA 90064-2319
(310) 475-0617
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
03/21/2023
Last updated
03/23/2023
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