Individual
DR. GAYLE ANN KOSTYACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
1201 HERITAGE CIR, PAWNEE, OK 74058-3744
(918) 762-6570
(918) 762-3543
Mailing address
1201 HERITAGE CIR, PAWNEE, OK 74058-3744
(918) 762-6570
(918) 762-3543
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
30-021970
OH
Other
Enumeration date
10/16/2006
Last updated
07/08/2007
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