Individual
DR. KENNETH S COSTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
220 N WASHINGTON AVE, DUNELLEN, NJ 08812-1246
(732) 968-1115
(908) 534-4027
Mailing address
8 JOHN STEVENS ROAD, WHITEHOUSE ST, NJ 08889
(908) 534-1127
(908) 534-4027
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
11853
NJ
Other
Enumeration date
09/01/2006
Last updated
09/23/2009
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