Individual
MS. EMILY KOSTELECKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMDI
Contact information
Practice address
806 JEFFERSON TER, NEW IBERIA, LA 70560-5727
(337) 365-4945
(337) 367-3917
Mailing address
806 JEFFERSON TER, NEW IBERIA, LA 70560-5727
(337) 365-4945
(337) 367-3917
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6497
LA
Other
Enumeration date
07/16/2014
Last updated
07/16/2014
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