Dominic A Colarusso JR. DDS

NPI 1033222328 - Dentist - 1223X0400X

NPI Details
NPI 1033222328
Gender Male
Enumeration Date 08/17/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
138 N 3RD ST
OLEAN NY, 14760-2504, US
Phone (716) 372-8017
Fax (716) 372-6931
Business Location
1229 HIGHLAND TER
OLEAN NY, 14760-1609, US
Phone (716) 373-2743
Fax
Toxanomy
Taxonomy Code 1223X0400X
License State New York
License Number 036942
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According to our database, Dr. Dominic A Colarusso JR. DDS NPI is 1033222328, taxonomy code is 1223X0400X and license number is 036942, license state is located at New York. Dominic A Colarusso JR. DDS physically located at 138 N 3rd St, Olean NY, 14760-2504. NPI Number Dominic A Colarusso JR. DDS has the Individual type.

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1033222328 NPI number is provided on an as is basis without warranty of any kind. 1033222328 is maintained by the National Plan & Provider Enumeration System. The contents of Dominic A Colarusso JR. DDS are for informational purposes only.