EDMUND J COSTELLO

WEST ROXBURY, MA
NPI1831106541
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: MA  MA10764)
Enumeration Date2006-08-02
Last Update Date2007-07-08
Business Address
Dr. EDMUND J COSTELLO DMD
1698 CENTRE ST
WEST ROXBURY, MA 02132-1240
Phone number: 617-327-9656
Mailing Address
Dr. EDMUND J COSTELLO DMD
1698 CENTRE ST
WEST ROXBURY, MA 02132-1240
Phone number: 617-327-9656
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