Individual
DR. AMANDA CHRISTINE COSTELLO RIORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
540 GALLIVAN BLVD, BOSTON, MA 02124-5400
(617) 265-8393
Mailing address
601 LAGRANGE ST, WEST ROXBURY, MA 02132-3266
(339) 203-1009
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN1859812
MA
Other
Enumeration date
05/22/2023
Last updated
06/28/2023
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