DR. SHANE COSTA, D.D.S
Dentist - General Practice
Active
Individual
NPI: 1407889306
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist - General Practice | 1223G0001X | Yes | 0401410911 (VA) |
Frequently Asked Questions
NPI 1407889306 is the National Provider Identifier for DR. SHANE COSTA, D.D.S, a Dentist - General Practice provider located in Reston, VA. This NPI was enumerated on July 7, 2006.
DR. SHANE COSTA, D.D.S practices at 1950 ROLAND CLARKE PL, SUITE 450, Reston, VA 20191.
Quick Facts
- NPI
- 1407889306
- Type
- Individual
- Enumerated
- Jul 7, 2006
- Last Updated
- Jul 8, 2007
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