Individual
DR. DOMENICK PETER COLETTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MD
Contact information
Practice address
10710 CHARTER DR, SUITE 330, COLUMBIA, MD 21044-3128
(410) 997-1010
(410) 997-1010
Mailing address
10710 CHARTER DR, SUITE 330, COLUMBIA, MD 21044-3128
(410) 997-1010
(410) 997-0807
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
D0060424
MD
Other
Enumeration date
08/30/2005
Last updated
12/06/2009
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