Victor J. Costanza in Santa Rosa - Dentist
Victor J. Costanza - NPI 1073665949
Victor J. Costanza is a Dentist in Santa Rosa, California. Victor J. Costanza practices all healthcare services and medical treatments related to Dentist. The NPI Number for Victor J. Costanza is 1073665949. The last update date is 2015-06-08.
Victor J. Costanza's current location address is 4655 Hoen Ave, Santa Rosa, California. You can contact this provider via phone number 7075457575 and fax number 7075457575. The mailing address for Victor J. Costanza is 4655 Hoen Ave, Santa Rosa, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Victor J. Costanza |
|---|---|
| Address | 4655 Hoen Ave, Santa Rosa, California |
| Phone Number | 7075457575 |
| Fax Number | 7075457575 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Costanza J Victor |
| Telephone Number | 7075457575 |
NPI Number Detail
| NPI Number | 1073665949 |
|---|---|
| Provider Enumeration Date | 2007-01-18 |
| Last Updated Date | 2015-06-08 |
Provider Mailing Address Detail
| Address | 4655 Hoen Ave |
|---|---|
| City | Santa Rosa |
| State | California (CA) |
| Post Code | 954057800 |
| Phone Number | 7075457575 |
| Fax Number | 7075457575 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 39780 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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What is the Victor J. Costanza's unique identification number?
The Victor J. Costanza has been assigned the NPI (National Provider Identifier) Number 1073665949 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete physical location address of Victor J. Costanza?
The Victor J. Costanza is physically situated at 4655 Hoen Ave, in the city of Santa Rosa, state of CA, with the postal code 954057800.
What is Victor J. Costanza's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Victor J. Costanza is Dentist, and the taxonomy code that categorizes this field of expertise is 122300000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1073665949 to Victor J. Costanza?
The Centers for Medicare & Medicaid Services assigned the 1073665949 to Victor J. Costanza on 2007-01-18.
As of what date were the details related to Victor J. Costanza most recently updated or revised?
The information pertaining to Victor J. Costanza, including its address, specialty, and other relevant details, was last updated or revised on 2015-06-08.
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