Organization
ORTHODONTISTS ASSOCIATES OF WESTERN NEW YORK, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOMINIC A COLARUSSO JR. DDS (PRESIDENT)
(716) 372-8017
Entity
Organization
Contact information
Practice address
138 N 3RD ST, OLEAN, NY 14760-2504
(716) 372-8017
Mailing address
138 N 3RD ST, OLEAN, NY 14760-2504
(716) 372-8017
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
041550
NY
Other
Enumeration date
08/17/2006
Last updated
08/22/2020
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