Anthony R Costa, DMD Valid NPI

Individual provider · Orthodontics and Dentofacial Orthopedics Dentistry · Bryn Mawr, PA

NPI

1699786434

Type

Individual (Type 1)

Primary specialty

Orthodontics and Dentofacial Orthopedics Dentistry (Dentist)

Specialty group

Dental Providers

Taxonomy code

1223X0400X

License number

DS027235L (PA)

Sex

Male

Sole proprietor

No

Enumerated

2006-08-10

Last updated

2007-07-08