Vincent Colasurdo D.M.D.

NPI 1013317676 - Dentist - 1223G0001X

NPI Details
NPI 1013317676
Gender Male
Enumeration Date 09/01/2014
Last Updated 09/01/2014
Entity Type Individual
Active Over 2 years ago
Practice Location
833 SW 11TH AVE
SUITE 723
PORTLAND OR, 97205-2125, US
Phone (503) 223-7661
Fax
Business Location
833 SW 11TH AVE
SUITE 723
PORTLAND OR, 97205-2125, US
Phone (503) 223-7661
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State Oregon
License Number D10138
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According to our database, Dr. Vincent Colasurdo D.M.D. NPI is 1013317676, taxonomy code is 1223G0001X and license number is D10138, license state is located at Oregon. Vincent Colasurdo D.M.D. physically located at 833 Sw 11th Ave, Portland OR, 97205-2125. NPI Number Vincent Colasurdo D.M.D. has the Individual type.

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1013317676 NPI number is provided on an as is basis without warranty of any kind. 1013317676 is maintained by the National Plan & Provider Enumeration System. The contents of Vincent Colasurdo D.M.D. are for informational purposes only.