Organization
DRS COLASANTO AND MONFARED PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL COLASANTO DDS (PRESIDENT)
(703) 525-7471
Entity
Organization
Contact information
Practice address
3801 N FAIRFAX DR, # 51, ARLINGTON, VA 22203-1702
(703) 525-7471
Mailing address
3801 N FAIRFAX DR, # 51, ARLINGTON, VA 22203-1702
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
0401007670
VA
1223P0300X
Periodontics
Primary
0401007146
VA
Other
Enumeration date
07/11/2008
Last updated
07/11/2008
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