Individual
DR. RYAN P COLOSI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5829 PHYLISS LN, MINT HILL, NC 28227-9031
(716) 445-6530
Mailing address
PO BOX 5037, LAKE WYLIE, SC 29710-5001
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
057038
NY
1223P0221X
Pediatric Dentistry
22DI02404900
NJ
1223P0221X
Pediatric Dentistry
Primary
8097
SC
Other
Enumeration date
10/26/2009
Last updated
02/15/2016
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