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1841240819
ANTHONY DICOSTANZO
DYER, IN
NPI
1841240819
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: IN 12007851A)
Enumeration Date
2006-05-11
Last Update Date
2010-01-11
Business Address
Dr. ANTHONY DICOSTANZO D.D.S., P.C.
1123 JOLIET ST
DYER, IN 46311-1926
Phone number: 219-865-3303
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Mailing Address
Dr. ANTHONY DICOSTANZO D.D.S., P.C.
1123 JOLIET ST
DYER, IN 46311-1926
Phone number: 219-865-3303
Copy
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