Individual
DR. BRUCE BLAS COSTAGLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
967 W GOLF RD, SCHAUMBURG, IL 60194-1329
(847) 882-8989
(847) 882-8941
Mailing address
967 W GOLF RD, SCHAUMBURG, IL 60194-1329
(847) 882-8989
(847) 882-8941
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
IL
Other
Enumeration date
11/06/2006
Last updated
07/08/2007
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