Individual
DR. BREANNA MICHELE COSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
264 S PETERS RD, KNOXVILLE, TN 37923-5203
(865) 539-1776
Mailing address
1151 WESTLAND GARDENS BLVD, KNOXVILLE, TN 37922-5306
(423) 596-3118
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10294
TN
Other
Enumeration date
08/28/2016
Last updated
06/16/2022
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