Individual
DIANE COSTANDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2999 WESTMINSTER AVE, SUITE 108, SEAL BEACH, CA 90740-5368
(562) 431-9739
Mailing address
2999 WESTMINSTER AVE, SUITE 108, SEAL BEACH, CA 90740-5368
(562) 431-9739
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
61630
CA
Other
Enumeration date
06/04/2015
Last updated
06/04/2015
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