Individual
LARRY A KOSTYAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
125 N FRANKLIN DR, SUITE 5, WASHINGTON, PA 15301-5892
(724) 222-2256
(724) 222-9384
Mailing address
125 N FRANKLIN DR, SUITE 5, WASHINGTON, PA 15301-5892
(724) 222-2256
(724) 222-9384
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS016965L
PA
Other
Enumeration date
10/11/2006
Last updated
07/08/2007
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