JOHN M COSTLEY

SALT LAKE CITY, UT
NPI1689761488
Professional NameJOHN M COSTLEY
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223P0300X Dentist, Periodontics
(Licence: UT  275085-9923)
Enumeration Date2006-10-05
Last Update Date2007-07-08
Business Address
Dr. JOHN M COSTLEY dds
500 FOOTHILL DR.
SALT LAKE CITY, UT 84148
Phone number: 801-584-1206
Mailing Address
Dr. JOHN M COSTLEY dds
1214 E. SHERWOOD DR
KAYSVILLE, UT 84037
Phone number: 801-546-0400