Individual
SHERRIE ANN COSTELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
1717 BIDDLE ST, SAINT LOUIS, MO 63106-3454
(314) 814-8581
(314) 814-8542
Mailing address
PO BOX 551, ST. LOUIS, MO 63188-0551
(314) 814-8557
(314) 814-8542
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
2012017508
MO
Other
Enumeration date
10/12/2012
Last updated
04/20/2023
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