Organization
COLOMBO DENTAL ASSOCIATES, LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FRED J COLOMBO DDS (DENTIST / PARTNER)
(516) 799-1787
Entity
Organization
Contact information
Practice address
996 HICKSVILLE RD, MASSAPEQUA, NY 11758-1251
(516) 799-1787
(516) 799-2623
Mailing address
996 HICKSVILLE RD, MASSAPEQUA, NY 11758-1251
(516) 799-1787
(516) 799-2623
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
021404-1
NY
Other
Enumeration date
01/28/2008
Last updated
05/05/2011
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