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Organization
DOMENICK COLETTI DDS, MD, PC
Active
Organization
DOMENICK COLETTI DDS, MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOMENICK COLETTI DDS, MD, FACS (PRESIDENT)
(410) 997-1010
Entity
Organization
Contact information
Practice address
10710 CHARTER DR, SUITE 330, COLUMBIA, MD 21044-3128
(410) 997-1010
(410) 997-0807
Mailing address
10710 CHARTER DR, SUITE 330, COLUMBIA, MD 21044-3128
(410) 997-1010
(410) 997-0807
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
D0060424
MD
Other
Enumeration date
12/07/2009
Last updated
12/07/2009
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