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Organization

LIMITED TO ENDODONTICS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOSE F. COSTAS D.M.D., M.S. (OWNER/PRESIDENT)
(407) 682-6474
Entity
Organization

Contact information

Practice address
225 S. WESTMONTE DR., SUITE 2070, ALTAMONTE SPRINGS, FL 32714
(407) 682-6474
(407) 682-0901
Mailing address
225 S. WESTMONTE DR., SUITE 2070, ALTAMONTE SPRINGS, FL 32714
(407) 682-6474
(407) 682-0901

Taxonomy

Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary

Other

Enumeration date
07/12/2006
Last updated
08/22/2020
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