Edmund Costello, DMD

NPI 1831106541 · on the registry since 2006

Practice

Address: 1698 Centre St
West Roxbury, MA 02132
Phone: (617) 327-9656
Fax: (781) 769-0599
Organisation at this address: Ben Smith Orthodontics Pc
Patricia Chiu, Dds, Ms, Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 2

Registry record

Primary taxonomy: 1223X0400X
1223X0400X
Licence states on file: MA
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 Massachusetts