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Organization
MARUSICH & CONTI DENTAL, PLLC
Active
Organization
MARUSICH & CONTI DENTAL, PLLC
Active
Other names
Columbia Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROGER ANTONIO CONTI D.D.S. (PARTNER)
(607) 770-1122
Entity
Organization
Contact information
Practice address
515 COLUMBIA DRIVE, JOHNSON CITY, NY 13790
(607) 770-1122
(607) 770-1176
Mailing address
515 COLUMBIA DRIVE, JOHNSON CITY, NY 13790
(607) 770-1122
(607) 770-1176
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
041409
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104448556
—
NY
Enumeration date
03/07/2007
Last updated
04/30/2021
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