Individual
DR. VASILIOS A KOSTAKIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
6070 WOODHAVEN BLVD STE C2, ELMHURST, NY 11373-5545
(718) 897-6400
(718) 997-9710
Mailing address
6070 WOODHAVEN BLVD STE C2, ELMHURST, NY 11373-5545
(718) 897-6400
(718) 997-9710
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
059920
NY
Other
Enumeration date
01/27/2014
Last updated
09/16/2020
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