Individual
DR. ANTHONY R COSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
800 SUMMIT GROVE, BRYN MAWR, PA 19010
(610) 525-3008
(610) 525-1086
Mailing address
800 SUMMIT GROVE, BRYN MAWR, PA 19010
(610) 525-3008
(610) 525-1086
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DS027235L
PA
Other
Enumeration date
08/10/2006
Last updated
07/08/2007
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