Individual
DR. CHRISTOPHER COSTELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
2811 BARDSTOWN RD, LOUISVILLE, KY 40205-2677
(502) 458-1114
Mailing address
2811 BARDSTOWN RD, LOUISVILLE, KY 40205-2677
(502) 458-1114
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9628
KY
Other
Enumeration date
10/02/2015
Last updated
10/02/2015
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