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1659756575
BENJAMIN COSTA
CAMBRIDGE, MA
NPI
1659756575
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: MA DN1857166)
Additional Taxonomies
122300000X Dentist
(Licence: CA 64628)
Enumeration Date
2015-07-21
Last Update Date
2021-02-22
Business Address
Dr. BENJAMIN COSTA D.M.D.
114 MOUNT AUBURN ST
CAMBRIDGE, MA 02138-5775
Phone number: 617-495-1434
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Mailing Address
Dr. BENJAMIN COSTA D.M.D.
4142 ADAMS AVE
SAN DIEGO, CA 92116-2592
Phone number: 619-326-0157
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