Individual
JOSEPH W COSTA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
227 RUSSELL ST, WORCESTER, MA 01602-2126
(508) 791-1777
(508) 792-0244
Mailing address
227 RUSSELL ST, WORCESTER, MA 01602-2126
(508) 791-1777
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN17734
MA
Other
Enumeration date
02/02/2006
Last updated
08/22/2019
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