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NPI Code Detail

MEDICARE: LINDSAY COSTANTINO, DDS INC

MEDICARE: LINDSAY COSTANTINO, DDS INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry

General Provider Information

NPI Number : 1578376323
Entity Type Code : Organization
Provider Name (Legal Business Name) : LINDSAY COSTANTINO, DDS INC
Provider Business Mailing Address
First Line : 10505 W PICO BLVD
Second Line :
City : LOS ANGELES
State : CA
Zip : 90064-2319
Country : US
Telephone Number : 310-475-0617
Fax Number : 310-474-5255
Provider Business Practice Location Address
First Line : 10505 W PICO BLVD
Second Line :
City : LOS ANGELES
State : CA
Zip : 90064-2319
Country : US
Telephone Number : 310-475-0617
Fax Number : 310-474-5255
Authorized Official
Title or Position : OWNER/PRESIDENT
Name : DR. LINDSAY COSTANTINO
Credential : DDS
Telephone Number : 310-475-0617
Provider Enumeration Date : 01/27/2025
Last Update Date : 01/27/2025

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Directions to “LINDSAY COSTANTINO, DDS INC ” Practice Location

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