FREDRICK WILLIAM COSTELLO

ORMOND BEACH, FL
NPI1245243401
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: FL  DN6323)
Enumeration Date2006-08-15
Last Update Date2007-07-08
Business Address
Mr. FREDRICK WILLIAM COSTELLO D.D.S.
1089 W GRANADA BLVD SUITE 1
ORMOND BEACH, FL 32174-8116
Phone number: 386-673-1611
Mailing Address
Mr. FREDRICK WILLIAM COSTELLO D.D.S.
1089 W GRANADA BLVD SUITE 1
ORMOND BEACH, FL 32174-8116
Phone number: 386-673-1611