Individual
PRISCILLA RAMOS COSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
20 E MAIN ST, HOHENWALD, TN 38462-1420
(931) 796-7577
Mailing address
1802 TRACE CREEK RD, HOHENWALD, TN 38462-5143
(909) 747-2972
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12399
TN
Other
Enumeration date
09/01/2017
Last updated
05/03/2024
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