Organization
KOSTELIC & ASSOCIATES 2, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW KOSTELIC DMD (OWNER)
(336) 577-1583
Entity
Organization
Contact information
Practice address
1480 RYMCO DR STE A, WINSTON SALEM, NC 27103-3072
(336) 725-9580
Mailing address
1480 RYMCO DR STE A, WINSTON SALEM, NC 27103-3072
(336) 725-9580
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
10/01/2024
Last updated
10/01/2024
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