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Individual

DR. JAMES PAUL COSTELLO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
862 SHELLBARK WAY, THE VILLAGES, FL 32162-4075
(352) 408-1400
(352) 391-1992
Mailing address
862 SHELLBARK WAY, THE VILLAGES, FL 32162-4075
(352) 408-1400
(352) 391-1992

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN4281
FL

Other

Enumeration date
08/29/2012
Last updated
08/29/2012
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