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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. EDMUND J COSTELLO, DMD

Active

DR. EDMUND J COSTELLO, DMD is a Orthodontics healthcare provider located in WEST ROXBURY, Massachusetts. NPI 1831106541 is currently active in the NPPES registry. Verify at CMS.

Orthodontics · WEST ROXBURY, MA

Registration Details

NPI Number
1831106541
Provider Type
Individual
Gender
Male
NPI Issued
Aug 2, 2006 (19.998044025743 yrs)
Last Updated
Jul 8, 2007
License
MA10764 (MA)

Practice Information

Address
1698 CENTRE ST
WEST ROXBURY, MA, 021321240
Browse MA providers · Browse ZIP 02132
Phone
6173279656
Fax
7817690599
Primary Specialty
Orthodontics
1223X0400X

Other Orthodontics Providers in WEST ROXBURY, MA

Name Credential NPI
DR. GWEN H ZHANG DMD 1548399876
PATRICIA CHIU DDS, MS 1326226622
DR. SARA GHASSEMI D.M.D 1619123155
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.