MICHAEL E COSTA

KING COVE, AK
NPI1144252529
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: AK  1382)
Additional Taxonomies122300000X Dentist
(Licence: OR  D7867)
Enumeration Date2006-07-07
Last Update Date2011-11-23
Business Address
-- MICHAEL E COSTA DDS
100 SLOCUM DR
KING COVE, AK 99612
Phone number: 907-497-2311
Mailing Address
-- MICHAEL E COSTA DDS
3380 C ST STE 100
ANCHORAGE, AK 99503-3949
Phone number: 907-277-1440