Individual
DR. KEVIN HUGH COSTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
101 7TH STREET NORTH, SARTELL, MN 56377
(320) 253-8241
(320) 253-8625
Mailing address
101 7TH STREET NORTH, SARTELL, MN 56377
(320) 253-8241
(320) 253-8625
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9122
MN
Other
Enumeration date
11/27/2006
Last updated
07/08/2007
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