Individual provider · Type 1 NPI

Cory J. Costanzo, DDS

Orthodontics and Dentofacial Orthopedics Dentistry · Fresno, CA

NPI number 1780804369 Active

Practice location

7104 N Fresno St, 101
Fresno, CA 93720-2970

Call (559) 439-2147 Map

Mailing address

1922 N Graybark Ave
Clovis, CA 93619-9590

Specialties and licenses

Taxonomy	Code	License
Orthodontics and Dentofacial Orthopedics Dentistry Primary	1223X0400X	50234 (CA)

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…

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About NPI 1780804369

Cory J. Costanzo, DDS's National Provider Identifier is 1780804369, issued on Apr 26, 2007. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Fresno, CA. The record was last updated on Jul 8, 2007.