Individual
DR. CHRISTA A COLAIZZI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
575 PIERCE ST STE 201, KINGSTON, PA 18704-5700
(570) 331-8100
(570) 714-8100
Mailing address
575 PIERCE ST STE 201, KINGSTON, PA 18704-5700
(570) 331-8100
(570) 714-8100
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DS042784
PA
1223G0001X
General Practice Dentistry
Primary
DS042784
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
231870842
DENTIST
PA
Enumeration date
08/06/2020
Last updated
03/23/2022
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