Provider Demographics
NPI:1982207817
Name:COSTA, LAURINDA (RDH)
Entity Type:Individual
Prefix:
First Name:LAURINDA
Middle Name:
Last Name:COSTA
Suffix:
Gender:F
Credentials:RDH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18 CHESHIRE CIR
Mailing Address - Street 2:
Mailing Address - City:GILFORD
Mailing Address - State:NH
Mailing Address - Zip Code:03249-6711
Mailing Address - Country:US
Mailing Address - Phone:603-508-2596
Mailing Address - Fax:
Practice Address - Street 1:18 CHESHIRE CIR
Practice Address - Street 2:
Practice Address - City:GILFORD
Practice Address - State:NH
Practice Address - Zip Code:03249-6711
Practice Address - Country:US
Practice Address - Phone:603-508-2596
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-22
Last Update Date:2020-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist