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1780804369
CORY J COSTANZO
FRESNO, CA
NPI
1780804369
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: CA 50234)
Enumeration Date
2007-04-26
Last Update Date
2007-07-08
Business Address
-- CORY J COSTANZO DDS
7104 N FRESNO ST 101
FRESNO, CA 93720-2970
Phone number: 559-439-2147
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Mailing Address
-- CORY J COSTANZO DDS
1922 N GRAYBARK AVE
CLOVIS, CA 93619-9590
Phone number: 559-297-4086
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