Organization
PARAMOUNT PEDIATRIC DENTISTRY OF RACINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXIS B COLOSIMO DDS (DENTIST/OWNER)
(651) 470-0541
Entity
Organization
Contact information
Practice address
5820 WASHINGTON AVE, MT PLEASANT, WI 53406-4020
(262) 770-5848
(262) 770-5751
Mailing address
5820 WASHINGTON AVE, MT PLEASANT, WI 53406-4020
(262) 770-5848
(262) 770-5751
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
01/22/2020
Last updated
01/22/2020
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