Organization
COLASURDODMD LLC
Active
Other names
Vincent Colasurdo
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VINCENT COLASURDO DMD (DENTIST)
(503) 680-2972
Entity
Organization
Contact information
Practice address
833 SW 11TH AVE STE 723, PORTLAND, OR 97205-2121
(503) 223-7661
Mailing address
4969 SW 31ST DR, PORTLAND, OR 97239-1239
(503) 680-2972
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/19/2022
Last updated
10/19/2022
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