Individual
DR. RAYMOND M COLAVINCENZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
243 WEST MAPLE STREET, CLYDE, OH 43410
(419) 547-9144
Mailing address
243 WEST MAPLE STREET, CLYDE, OH 43410
(419) 547-9144
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11368
OH
Other
Enumeration date
07/26/2006
Last updated
07/08/2007
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