JASON DOUGLAS COSTA

KILLEEN, TX
NPI1508046384
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: TX  23604)
Enumeration Date2007-11-08
Last Update Date2007-11-08
Business Address
-- JASON DOUGLAS COSTA D.D.S
3300 E CENTRAL TEXAS EXPY 302
KILLEEN, TX 76543-5306
Phone number: 254-699-6799
Mailing Address
-- JASON DOUGLAS COSTA D.D.S
1000 SAN MARCOS ST APT. 245
AUSTIN, TX 78702-2605
Phone number: 325-200-9306
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