Individual
DR. MASSIMO COSTALONGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D., PH.D.
Contact information
Practice address
516 DELAWARE ST SE, 7-300 PWB, MINNEAPOLIS, MN 55455-0356
(612) 626-3233
Mailing address
515 DELAWARE ST SE, 7-368 MOOST, MINNEAPOLIS, MN 55455-0357
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
D11846
MN
Other
Enumeration date
05/18/2011
Last updated
05/18/2011
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