| La Costa Dental Of Kostoryz Pa | |
|
4506 Kostoryz Rd Corpus Christi TX 78415-5023 | |
| (817) 531-3500 | |
| (817) 531-3501 |
| Full Name | La Costa Dental Of Kostoryz Pa |
|---|---|
| Speciality | Dentist |
| Location | 4506 Kostoryz Rd, Corpus Christi, Texas |
| Authorized Official Name and Position | Tien Dinh Phan (DENTIST) |
| Authorized Official Contact | 8175313500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| La Costa Dental Of Kostoryz Pa 8150 Springwood Dr # 150b Irving TX 75063-5810 Ph: () - | La Costa Dental Of Kostoryz Pa 4506 Kostoryz Rd Corpus Christi TX 78415-5023 Ph: (817) 531-3500 |
| NPI Number | 1245658798 |
|---|---|
| Provider Enumeration Date | 04/02/2014 |
| Last Update Date | 10/25/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245658798 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 22334 (Texas) | Primary |
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