Individual
JOHN PATRICK COSTELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
129 HIGHLAND AVE, SALEM, MA 01970-2774
(978) 744-7575
Mailing address
129 HIGHLAND AVE, SALEM, MA 01970-2774
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN1857197
MA
Other
Enumeration date
05/30/2016
Last updated
05/30/2016
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