Individual
DR. MATTHEW JOSEPH COSTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.Q
Contact information
Practice address
316 W 4TH ST, QUARRYVILLE, PA 17566-1138
(717) 786-2746
Mailing address
59 GOVERNOR MARKHAM DR, GLEN MILLS, PA 19342-1029
(610) 558-3222
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS037507
PA
Other
Enumeration date
06/20/2008
Last updated
06/20/2008
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