| NPI | 1053644880 |
|---|---|
| Professional Name | BILL C COSTARAS |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: AZ D008677) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: AZ D008677) |
| 1223X2210X Dentist, Orofacial Pain (Licence: AZ D008677) | |
| Enumeration Date | 2009-09-11 |
| Last Update Date | 2026-03-03 |