| NPI | 1245504984 |
|---|---|
| Other Name | JOHN JOSEPH SHOKRY COSTANDI |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: CA DDS103736) |
| Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: NY 059745) |
| Enumeration Date | 2012-02-27 |
| Last Update Date | 2019-07-26 |