Individual
MARINA LOUISE KOSTUROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2220 BLOOMINGDALE AVE STE B, VALRICO, FL 33596-6212
(813) 681-1300
Mailing address
2220 BLOOMINGDALE AVE STE B, VALRICO, FL 33596-6212
(813) 681-1300
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DEN.00204859
CO
Other
Enumeration date
03/28/2023
Last updated
02/03/2025
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