| NPI | 1255609848 |
|---|---|
| Doing Business As | DENTIST ON WASHINGTON |
| Entity Type | Organization |
| Authorized Contact | WILLIAM JOHN COSTELLO Dentist/Owner 215-389-9889 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: PA dso36827) |
| Enumeration Date | 2011-12-09 |
| Last Update Date | 2011-12-09 |