# L&M DENTAL GROUP LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Village Dental, P.A.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174358212
- **Authorized official:** DR. MICHAEL DAVID COLARUSSO DDS (DENTIST/OWNER)
- **Authorized official phone:** (201) 803-8526

## Contact information

- **Practice address:** 255 MAIN ST, RIDGEFIELD PARK, NJ 07660-1598
- **Practice address phone:** (201) 440-0434
- **Mailing address:** 5 GOBLE TER, MIDLAND PARK, NJ 07432-1628

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 09/06/2024
- **Last updated:** 09/06/2024