DR. Jaclyn Kostelac, DDS is a student in an organized health care education training program in Saint Louis, MO. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. DR. Jaclyn Kostelac, DDS NPI is 1861874349. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
3320 RUTGER ST
SAINT LOUIS, MO
ZIP 63104-122
Phone: (314) 977-8363
The enumeration date for this NPI number is 6/22/2015 and was last updated on 6/22/2015.