Organization
PETER A COSTALOS DMD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER A COSTALOS DMD (PRESIDENT)
(718) 238-9888
Entity
Organization
Contact information
Practice address
462 BAY RIDGE PKWY, BROOKLYN, NY 11209-2702
(718) 238-9888
(718) 745-4625
Mailing address
462 BAY RIDGE PKWY, BROOKLYN, NY 11209-2702
(718) 238-9888
(718) 745-4625
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
05/29/2013
Last updated
05/29/2013
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