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Organization
JOHN G. COLASURDO D.M.D
Active
Organization
JOHN G. COLASURDO D.M.D
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN G COLASURDO D.M.D (OWNER/DENTIST)
(503) 223-7661
Entity
Organization
Contact information
Practice address
833 SW 11TH AVE, SUITE 723, PORTLAND, OR 97205
(503) 223-7661
(503) 223-6997
Mailing address
833 SW 11TH AVE, SUITE 723, PORTLAND, OR 97205
(503) 223-7661
(503) 223-6997
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
10/10/2014
Last updated
10/13/2014
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