CHANDA J COSTELLO

PORTLAND, OR
NPI1235385980
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist General Practice
(Licence: OR  D9133)
Enumeration Date2008-08-13
Last Update Date2017-03-05
Business Address
DR. CHANDA J COSTELLO DMD
10211 SW PARK WAY
PORTLAND, OR 97225-5009
Phone number: 503-203-6978
Mailing Address
DR. CHANDA J COSTELLO DMD
10211 SW PARK WAY
PORTLAND, OR 97225-5009
Phone number: 503-203-6978
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