Kraski, Costello & Drake, Pa

NPI 1073798518 - Dentist - 1223G0001X

NPI Details
NPI 1073798518
Enumeration Date 01/03/2008
Last Updated 01/28/2013
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name PAMELA PAMELA
Position OFFICE MANAGER
Phone (386) 673-1611
Fax (386) 672-3543
Practice Location
1089 W GRANADA BLVD
SUITE 1
ORMOND BEACH FL, 32174-8116, US
Phone (386) 673-1611
Fax (386) 672-3543
Business Location
1089 W GRANADA BLVD
SUITE 1
ORMOND BEACH FL, 32174-8116, US
Phone (386) 673-1611
Fax (386) 672-3543
Toxanomy
Taxonomy Code 1223G0001X
License State
License Number
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According to our database, Kraski, Costello & Drake, Pa NPI is 1073798518, taxonomy code is 1223G0001X Kraski, Costello & Drake, Pa physically located at 1089 W Granada Blvd, Ormond Beach FL, 32174-8116. NPI Number 1033115704 has the healthcare provider type.

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1073798518 NPI number is provided on an as is basis without warranty of any kind. 1073798518 is maintained by the National Plan & Provider Enumeration System. The contents of Kraski, Costello & Drake, Pa are for informational purposes only.