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1689761488
JOHN M COSTLEY
SALT LAKE CITY, UT
NPI
1689761488
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Professional Name
JOHN M COSTLEY
Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223P0300X Dentist, Periodontics
(Licence: UT 275085-9923)
Enumeration Date
2006-10-05
Last Update Date
2007-07-08
Business Address
Dr. JOHN M COSTLEY dds
500 FOOTHILL DR.
SALT LAKE CITY, UT 84148
Phone number: 801-584-1206
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Mailing Address
Dr. JOHN M COSTLEY dds
1214 E. SHERWOOD DR
KAYSVILLE, UT 84037
Phone number: 801-546-0400
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