Individual
RAFAELA CRISTINA COSTA CARLOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1 WINDING DR STE 105, PHILADELPHIA, PA 19131-2907
(215) 402-2471
Mailing address
353 DELMAR ST, PHILADELPHIA, PA 19128-4505
(917) 855-1036
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS045345
PA
Other
Enumeration date
12/22/2022
Last updated
07/23/2025
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