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Search › Virginia › General Practice Dentistry

Shane Costa, D.D.S

NPI 1407889306 · on the registry since 2006 · sole proprietor

Practice

Address
1950 Roland Clarke Pl
Suite 450
Reston, VA 20191
Phone
(703) 391-2600
Fax
(703) 391-2097
Organisation at this address
Watt And Clark L.C.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Registry record

Primary taxonomy
General Practice Dentistry
1223G0001X
Licence states on file
VA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia