Organization
SEAN COSTELLO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SEAN COSTELLO DDS (PRESIDENT)
(918) 492-3752
Entity
Organization
Contact information
Practice address
7104 S SHERIDAN, SUITE 8, TULSA, OK 74133
(918) 492-3752
(918) 492-4538
Mailing address
7104 S SHERIDAN, SUITE 8, TULSA, OK 74133
(918) 492-3752
(918) 492-4538
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5475
OK
Other
Enumeration date
04/04/2007
Last updated
08/22/2020
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