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Individual

DR. DAN CRISTIAN COLOSI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS, PHD

Contact information

Practice address
STONY BROOK UNIVERSITY SCHOOL OF, SULLIVAN HALL-DENTAL CARE CENTER, STONY BROOK, NY 11794-8700
(631) 632-8974
Mailing address
STONY BROOK UNIVERSITY SCHOOL OF, 124 WESTCHESTER HALL, STONY BROOK, NY 11794-8700
(631) 632-8925
(631) 632-3001

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
000003
NY
1223X0008X
Oral and Maxillofacial Radiology Dentistry
Primary
000003
NY

Other

Enumeration date
08/07/2009
Last updated
08/07/2009
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