# VOLUMETRIC CRANIOFACIAL IMAGING CENTERS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245420090
- **Authorized official:** DR. DOMINIC A COLARUSSO JR. DDS (PRESIDENT)
- **Authorized official phone:** (716) 372-8017

## Contact information

- **Practice address:** 4031 LEGION DR, HAMBURG, NY 14075-4507
- **Practice address phone:** (716) 646-6900
- **Practice address fax:** (716) 312-0036
- **Mailing address:** 4031 LEGION DR, HAMBURG, NY 14075-4507
- **Mailing address phone:** (716) 646-6900
- **Mailing address fax:** (716) 312-0036

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/27/2007
- **Last updated:** 07/27/2007