PERCIVAL FREDERICK DACOSTA

DAYTON, OH
NPI1356554778
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: OH  30. 015929)
Enumeration Date2007-05-08
Last Update Date2007-07-09
Business Address
Dr. PERCIVAL FREDERICK DACOSTA D.D.S.
2234 SALEM AVE
DAYTON, OH 45406-5627
Phone number: 937-278-0891
Mailing Address
Dr. PERCIVAL FREDERICK DACOSTA D.D.S.
2234 SALEM AVE
DAYTON, OH 45406-5627
Phone number: 937-278-0891
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