Individual
LOUIS COSTA II
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.M.D., M.D.
Contact information
Practice address
247 CALHOUN ST, CHARLESTON, SC 29401-1306
(843) 722-5904
(843) 722-1564
Mailing address
247 CALHOUN ST, CHARLESTON, SC 29401-1306
(843) 722-5904
(843) 722-1564
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
11473
SC
Other
Enumeration date
04/27/2006
Last updated
07/08/2007
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