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1851705834
MICHAEL J COSTA
KNOXVILLE, TN
NPI
1851705834
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: TN 10644)
Additional Taxonomies
122300000X Dentist
(Licence: NC 9738)
Enumeration Date
2014-06-17
Last Update Date
2024-05-23
Business Address
Dr. MICHAEL J COSTA DDS
264 S PETERS RD
KNOXVILLE, TN 37923-5203
Phone number: 865-539-1776
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Mailing Address
Dr. MICHAEL J COSTA DDS
264 S PETERS RD
KNOXVILLE, TN 37923-5203
Phone number: 865-539-1776
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