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1457392680
CHARLES RICHARD COSTELLO
GREENSBURG, PA
NPI
1457392680
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: PA DS-019865-L)
Enumeration Date
2006-06-09
Last Update Date
2007-07-08
Business Address
Dr. CHARLES RICHARD COSTELLO
514 PELLIS RD SUITE 100
GREENSBURG, PA 15601-4506
Phone number: 724-832-7200
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Mailing Address
Dr. CHARLES RICHARD COSTELLO
514 PELLIS RD SUITE 100
GREENSBURG, PA 15601-4506
Phone number: 724-832-7200
Copy
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