Individual
DR. CONNOR LUKE COSTELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2016 TOWER DR, MONROE, LA 71201-5036
(318) 387-5732
Mailing address
2016 TOWER DR, MONROE, LA 71201-5036
(318) 387-5732
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7661
LA
Other
Enumeration date
05/22/2025
Last updated
05/22/2025
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