Organization
L&M DENTAL GROUP LLC
Active
Other names
Village Dental, P.A.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL DAVID COLARUSSO DDS (DENTIST/OWNER)
(201) 803-8526
Entity
Organization
Contact information
Practice address
255 MAIN ST, RIDGEFIELD PARK, NJ 07660-1598
(201) 440-0434
Mailing address
5 GOBLE TER, MIDLAND PARK, NJ 07432-1628
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/06/2024
Last updated
09/06/2024
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