La Costa Dental of Kostoryz PA
La Costa Dental of Kostoryz PA is a Dentist in Corpus Christi, Texas. Licensed in Texas. Registered with an NPI since 2014.
- Licensed in
- TX
- In the registry since
- 2014
What do these letters mean?
- PA — Professional association
- A form of business registration, not a clinical qualification.
Practice location Address checks out
4506 Kostoryz RdCorpus Christi, TX 78415-5023
Phone: (817) 531-3500
Fax: (817) 531-3501
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dentist (primary) | Taxonomy 122300000X · Licence 22334 (TX) |
|---|
Record details
| NPI number | 1245658798 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Tien Phan — Dentist · (817) 531-3500 |
| NPI enumerated | April 2, 2014 |
| Last updated in NPPES | October 25, 2021 |
| Certification date | October 25, 2021 |
| Mailing address | 8150 Springwood Dr # 150b, Irving, TX 75063-5810 |
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