Individual
SOPHIA COSTELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
2566 LAWRENCEVILLE SUWANEE RD, SUWANEE, GA 30024-2537
(678) 714-2380
Mailing address
2566 LAWRENCEVILLE SUWANEE RD, SUWANEE, GA 30024-2537
(678) 714-2380
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
APPLIEDFOR
GA
Other
Enumeration date
04/16/2026
Last updated
04/16/2026
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