| NPI | 1053644880 |
|---|---|
| Professional Name | BILL C COSTARAS |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OH 18574) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: AZ D008677) |
| 1223G0001X Dentist, General Practice (Licence: IL 019.027553) | |
| Enumeration Date | 2009-09-11 |
| Last Update Date | 2017-03-04 |