Individual provider · Type 1 NPI
Marina Louise Kosturos
Orthodontics and Dentofacial Orthopedics Dentistry · Valrico, FL
Practice location
2220 Bloomingdale Ave Ste B
Valrico, FL 33596-6212
Other practice locations
- 12904 Race Track Rd, Tampa, FL 33626-1305 · (813) 443-5050
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry Primary | 1223X0400X | DEN.00204859 (CO) |
Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…
About NPI 1104520774
Marina Louise Kosturos's National Provider Identifier is 1104520774, issued on Mar 28, 2023. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Valrico, FL. The record was last updated on Feb 3, 2025.