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1245594050
MICHAEL TED KOSTAL
GREELEY, CO
NPI
1245594050
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: CO 10757)
Enumeration Date
2012-06-26
Last Update Date
2012-06-26
Business Address
Dr. MICHAEL TED KOSTAL D.D.S.
6632 W 10TH ST STE 101
GREELEY, CO 80634-9734
Phone number: 970-353-4848
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Mailing Address
Dr. MICHAEL TED KOSTAL D.D.S.
6632 W 10TH ST STE 101
GREELEY, CO 80634-9734
Phone number: 970-353-4848
Copy
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